Michael John Heidt, LAT
NPI #1518014174 in Two Rivers, Wisconsin
Provider Information
- NPI Number
- 1518014174
- Entity Type
- Individual
- Name
- Michael John Heidt, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT
- Enumeration Date
- Jan 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5000 MEMORIAL DR
- Address 2
- REHABILITATION DEPARTMENT
- City
- Two Rivers
- State
- Wisconsin
- ZIP Code
- 54241-3900
- Phone
- (920) 794-5166
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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