Search › Minnesota › 225100000X
Jesse Heaton, DPT
NPI 1508356361 · on the registry since 2018
Practice
- Address
- 9242 Hudson Blvd N Ste 400
Lake Elmo, MN 55042 - Phone
- (952) 835-4512
- Fax
- (888) 425-0398
- Organisation at this address
- Viverant, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Additional practice sites
- 3200 Labore Rd Ste 102, Vadnais Heights, MN
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Also registered as
- 225100000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-07
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 Minnesota