Heidi Louisa Gillis, PTA

NPI #1841701893 in Seymour, Wisconsin

Provider Information

NPI Number: 1841701893
Entity Type: Individual
Name: Heidi Louisa Gillis, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 17, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 958 FOOTE ST
City: Seymour
State: Wisconsin
ZIP Code: 54165-1044
Phone: (920) 562-0621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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