Provider Demographics
NPI:1558840553
Name:HELD, ERIC DWAYNE (DPT)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:DWAYNE
Last Name:HELD
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1475
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-1475
Mailing Address - Country:US
Mailing Address - Phone:515-643-7050
Mailing Address - Fax:515-643-7051
Practice Address - Street 1:25 W HICKMAN RD STE 200
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-5021
Practice Address - Country:US
Practice Address - Phone:515-643-7050
Practice Address - Fax:515-643-7051
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA091406225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty