Healthcare Provider Details

I. General information

NPI: 1083046171
Provider Name (Legal Business Name): HEATHER JOY VROOM PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2013
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 S LAGUNA CIR
SIOUX FALLS SD
57108-8760
US

IV. Provider business mailing address

6800 S LAGUNA CIR
SIOUX FALLS SD
57108-8760
US

V. Phone/Fax

Practice location:
  • Phone: 402-889-9931
  • Fax:
Mailing address:
  • Phone: 402-889-9931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number6305
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: