Heather Lynn Bannister, PTA

NPI #1578042297 in Shawano, Wisconsin

Provider Information

NPI Number
1578042297
Entity Type
Individual
Name
Heather Lynn Bannister, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Aug 13, 2018
Last Updated
Aug 13, 2018

Practice Location

Address
1436 S LINCOLN ST
ZIP Code
54166-3427
Phone
(715) 526-6111

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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