Provider Demographics
NPI:1912269952
Name:HOWARD, HEATHER LYNN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:LYNN
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2628
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58802-2628
Mailing Address - Country:US
Mailing Address - Phone:701-651-4325
Mailing Address - Fax:844-787-1839
Practice Address - Street 1:1502 13TH AVE W
Practice Address - Street 2:SUITE 101
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801
Practice Address - Country:US
Practice Address - Phone:701-651-4325
Practice Address - Fax:844-787-1839
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2010033063225100000X
CO10891225100000X
ND1635225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist