Provider Demographics
NPI:1376017376
Name:REINHARDT, HEATHER SARA (DC)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:SARA
Last Name:REINHARDT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1917 HILLSBORO AVE N
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55427-3748
Mailing Address - Country:US
Mailing Address - Phone:763-381-2606
Mailing Address - Fax:
Practice Address - Street 1:4900 HIGHWAY 169 N STE 205
Practice Address - Street 2:
Practice Address - City:NEW HOPE
Practice Address - State:MN
Practice Address - Zip Code:55428-4017
Practice Address - Country:US
Practice Address - Phone:763-381-2606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6572111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor