SearchIdaho225100000X

Brian Heaton, PT

NPI 1285782409 · on the registry since 2007 · sole proprietor

Practice

Address
23108 Lansing Ln
Middleton, ID 83644
Phone
(208) 484-0096

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho