Provider Demographics
NPI:1003198714
Name:DEMPSEY, HEATHER L (DPT)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:L
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19111 MASON PLZ
Mailing Address - Street 2:
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-5659
Mailing Address - Country:US
Mailing Address - Phone:402-504-9797
Mailing Address - Fax:402-504-9882
Practice Address - Street 1:19111 MASON PLZ
Practice Address - Street 2:
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-5659
Practice Address - Country:US
Practice Address - Phone:402-504-9797
Practice Address - Fax:402-504-9882
Is Sole Proprietor?:No
Enumeration Date:2011-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3529225100000X
NCP13411225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist