Individual
HANNAH HEACOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC/L
Contact information
Practice address
1625 RADIO DR, WOODBURY, MN 55125-9407
(651) 241-3636
Mailing address
4989 NEAL AVE N, STILLWATER, MN 55082-1074
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12511
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/23/2017
Last updated
05/04/2022
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