Individual
BECKY L HEINERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
111 RIVERFRONT, WINONA, MN 55987-3456
(507) 454-8700
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4940
WI
225100000X
Physical Therapist
Primary
6700
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40347700
—
WI
Enumeration date
06/20/2005
Last updated
07/08/2016
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