Provider Demographics
NPI:1588037014
Name:RUWE, HEATHER ANN (PTA)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:ANN
Last Name:RUWE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15784 COUNTY ROAD 5
Mailing Address - Street 2:
Mailing Address - City:HOOPER
Mailing Address - State:NE
Mailing Address - Zip Code:68031-5006
Mailing Address - Country:US
Mailing Address - Phone:402-630-3146
Mailing Address - Fax:402-654-2446
Practice Address - Street 1:15784 COUNTY ROAD 5
Practice Address - Street 2:
Practice Address - City:HOOPER
Practice Address - State:NE
Practice Address - Zip Code:68031-5006
Practice Address - Country:US
Practice Address - Phone:402-630-3146
Practice Address - Fax:402-654-2446
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE420225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant