NPI 1639423809

Thomas Heifner

Practitioner Physical Therapy Assistant St Louis Park, MN

Practice location

Address: 4415 W 36 1/2 St, St Louis Park, MN 55416-4854
Phone: (952) 927-9717
Mailing address: 2910 Cavell Ave S, St Louis Park, MN 55426-2914

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A1046 (MN)

Other Physical Therapy Assistant providers in Minnesota →

Registry record

NPI: 1639423809
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Nov 2012
Record last updated: 9 Nov 2012

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.