Provider Demographics
NPI:1306319967
Name:HESSE, BRITTANY HEIDI (ATC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:HEIDI
Last Name:HESSE
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64358 375TH ST
Mailing Address - Street 2:
Mailing Address - City:WATKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55389-5828
Mailing Address - Country:US
Mailing Address - Phone:320-423-2423
Mailing Address - Fax:
Practice Address - Street 1:64358 375TH ST
Practice Address - Street 2:
Practice Address - City:WATKINS
Practice Address - State:MN
Practice Address - Zip Code:55389-5828
Practice Address - Country:US
Practice Address - Phone:320-423-2423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-07
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2255A2300X
MN13063199672255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer