Provider Demographics
NPI:1447763099
Name:HEIKKINEN, FELICIA MARIE
Entity Type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:MARIE
Last Name:HEIKKINEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49921 HWY M26
Mailing Address - Street 2:
Mailing Address - City:HANCOCK
Mailing Address - State:MI
Mailing Address - Zip Code:49930
Mailing Address - Country:US
Mailing Address - Phone:906-231-6806
Mailing Address - Fax:
Practice Address - Street 1:310 FULTON AVE
Practice Address - Street 2:
Practice Address - City:MOHAWK
Practice Address - State:MI
Practice Address - Zip Code:49950
Practice Address - Country:US
Practice Address - Phone:906-281-1109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-06
Last Update Date:2017-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Single Specialty