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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSE C HEATON, DPT

Active

JESSE C HEATON, DPT is a Physical Therapy Assistant healthcare provider located in LAKE ELMO, Minnesota. NPI 1508356361 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LAKE ELMO, MN

Registration Details

NPI Number
1508356361
Provider Type
Individual
Gender
Male
NPI Issued
May 16, 2018 (8.2201979433764 yrs)
Last Updated
Jul 7, 2021
License
11083 (MN)

Practice Information

Address
9242 HUDSON BLVD N STE 400
LAKE ELMO, MN, 550428701
Browse MN providers · Browse ZIP 55042
Phone
9528354512
Fax
8884250398
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in LAKE ELMO, MN

Name Credential NPI
NATHAN R DEBRUIN PT 1861500464
MARGARET F NELSON PT 1629166384
MOLLY L SORENSON PT 1174611230
JAMES HOYME PT 1598835753
KIRSTYN HEDAHL FULTON DPT 1891955647
DR. MATTHEW THOMAS HIRN DPT 1245768944
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.