Individual
HEIDI KANEALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3720 QUEEN CT SW, SUITE 1, CEDAR RAPIDS, IA 52404-4735
(319) 364-0300
(319) 364-4043
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(319) 364-0300
(319) 364-4043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02327
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0429076
—
IA
05
—
0665026
—
IA
Enumeration date
10/03/2006
Last updated
08/03/2009
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