Provider Demographics
NPI:1023810694
Name:MEANS, HEATHER (PTA)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:MEANS
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 1:608 E 6TH ST APT 11
Mailing Address - Street 2:
Mailing Address - City:VILLISCA
Mailing Address - State:IA
Mailing Address - Zip Code:50864-1246
Mailing Address - Country:US
Mailing Address - Phone:712-621-0307
Mailing Address - Fax:
Practice Address - Street 1:1800 14TH AVE
Practice Address - Street 2:
Practice Address - City:NEBRASKA CITY
Practice Address - State:NE
Practice Address - Zip Code:68410-1159
Practice Address - Country:US
Practice Address - Phone:712-621-0307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA084058225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant