Adeline Rose Heald
Individual provider Active NPI Physical Therapy Assistant · Danville, IA
NPI 1104462811 · NPPES record last updated Nov 18, 2019
Key facts
- NPI
- 1104462811
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 096805 (IA)
- Practice address
- 401 S Birch St
Danville, IA 52623-9613 - Phone
- (319) 392-4259
- NPI assigned
- Nov 18, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096805 | IA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 096805 | IA | Yes |
Addresses
Primary practice location
401 S Birch St
Danville, IA 52623-9613
Mailing address
204 Schwartz St
West Burlington, IA 52655-1133
Phone (319) 572-8996
Other names
- Addie Rose Heald
Other providers in Danville, IA
- Danville Chiropractic PC
- Danville Community School District
- Francis Counseling Services Inc
- Candi Francis
- Cynthia Ann Grothe
- Landry Jordan Heinzerling
- Shasta Ketchamconnelly
- Nathan Mehaffy
- Amy Lynn Noel
- Diane Reed
All providers in Danville, IA · Physical Therapy Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2019. 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.