Individual
HEATHER NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
150 LINCOLN ST, LANDER, WY 82520-2846
(307) 335-5188
(307) 333-0600
Mailing address
150 LINCOLN ST, LANDER, WY 82520-2846
(307) 335-5188
(307) 333-0600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
WY-1591
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1591
NONE
WY
Enumeration date
07/29/2015
Last updated
03/11/2021
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