Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly J Heazlett, CTRS

Individual provider Recreation Therapist · NPI 1215156211

Kimberly J Heazlett, CTRS is a Recreation Therapist in Fargo, North Dakota. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

2101 Elm St N
Fargo, ND 58102-2417
Phone: (701) 232-3241
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 29888

Record details

NPI number1215156211
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedApril 25, 2007
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

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