Heather Marie Goutermont, PT
Individual provider Active NPI Physical Therapist · Silver Bay, MN
NPI 1003067893 · NPPES record last updated Mar 18, 2016
Key facts
- NPI
- 1003067893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 8187 (MN)
- Practice address
- 45 Banks Blvd
Silver Bay, MN 55614-1337 - Phone
- (218) 353-8682
- Fax
- (218) 226-6336
- NPI assigned
- Oct 10, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodies in Balance of Two Harbors, Inc. | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8187 | MN | Yes |
Addresses
Primary practice location
45 Banks Blvd
Silver Bay, MN 55614-1337
Mailing address
45 Banks Blvd
Silver Bay, MN 55614-1337
Phone (218) 353-8682
Other providers in Silver Bay, MN
- Paulina Chalupsky
- Thomas Matthew Clifford
- Julee M Dehart
- Joann Kelly Dingmann
- Firstsolutions
- Harvest Moon Mental Health Services
- Ada M. Helleloid
- Lacy Rae Kaushagen
- Jacob Keller
- Lake County Ambulance
All providers in Silver Bay, MN · Physical Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.