Whalio Doctors

NPI 1215156211

Kimberly J Heazlett, CTRS

Practitioner Recreation Therapist Fargo, ND

Practice location

Address
2101 Elm St N, Fargo, ND 58102-2417
Phone
(701) 232-3241

Registered specialties

Recreation Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 29888

Registry record

NPI
1215156211
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Apr 2007
Record last updated
6 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.