Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY J HEAZLETT, CTRS
ActiveKIMBERLY J HEAZLETT, CTRS is a Recreation Therapist healthcare provider located in FARGO, North Dakota. NPI 1215156211 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · FARGO, ND
Registration Details
- NPI Number
- 1215156211
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2007 (19.275034082825 yrs)
- Last Updated
- Nov 6, 2024
- License
-
29888
Practice Information
- Address
-
2101 ELM ST NFARGO, ND, 581022417Browse ND providers · Browse ZIP 58102
- Phone
- 7012323241
- Primary Specialty
-
Recreation Therapist
225800000X
Other Recreation Therapist Providers in FARGO, ND
| Name | Credential | NPI |
|---|---|---|
| GRETA M O'DONNELL | CTRS | 1699108654 |
| TRICIA JO BOSAK-BOVKOON | CTRS | 1497578454 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.