NPI 1740646314

Marianne Rae Heckman, PTA

Practitioner Contractor Minot, ND

Practice location

Address: 1715 S Broadway, Minot, ND 58701-6304
Phone: (701) 837-8441
Fax: (844) 272-1182
Mailing address: 1021 Harrison Dr, Minot, ND 58703-1617

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 0648 (ND)

Other Contractor providers in North Dakota →

Registry record

NPI: 1740646314
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jan 2016
Record last updated: 12 Jan 2016

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.