Healthcare Provider Details

I. General information

NPI: 1710809785
Provider Name (Legal Business Name): CINDY MARIE HECKENLAIBLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 FOX RUN PKWY STE 100
YANKTON SD
57078-5371
US

IV. Provider business mailing address

501 SUMMIT ST
YANKTON SD
57078-3855
US

V. Phone/Fax

Practice location:
  • Phone: 605-260-0918
  • Fax:
Mailing address:
  • Phone: 605-668-8268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0989
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: