Individual
HEIDI RICHARDSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4010 W 65TH ST, SUITE 105, EDINA, MN 55435-1721
(952) 285-2840
(952) 285-2830
Mailing address
542 OAKHILL CIR, CHASKA, MN 55318-2866
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6666
MN
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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