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NPI Code Detail

MEDICARE: HEIDI J ARNOLD

MEDICARE:   HEIDI J ARNOLD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant076291IA

General Provider Information

NPI Number : 1558898627
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI J ARNOLD
Provider Business Mailing Address
First Line : 1700 3RD ST NE
Second Line :
City : INDEPENDENCE
State : IA
Zip : 50644
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 3RD ST NE
Second Line :
City : INDEPENDENCE
State : IA
Zip : 50644-2264
Country : US
Telephone Number : 319-334-7015
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2017
Last Update Date : 05/18/2017

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Directions to “ HEIDI J ARNOLD ” Practice Location

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