Connelly, Heather Nycole

Connelly, Heather Nycole is an sole proprietor health care provider with primary practice located at 500 E Veterans St , Tomah WI 54660-3105. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Connelly, Heather Nycole can be contacted via phone (608) 372-3971.

Contact Information

Primary practice address
500 E Veterans St Tomah WI 54660-3105
Phone: (608) 372-3971
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 69592

Profile Details

NPI number 1063000818
LBN Legal business name Connelly, Heather Nycole
Credentials CTRS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2021
Last updated Jan 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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