Heath David Willis, A.T.C.
NPI #1881632651 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1881632651
- Entity Type
- Individual
- Name
- Heath David Willis, A.T.C.
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- A.T.C.
- Enumeration Date
- Jun 3, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2620 N WESTWOOD BLVD
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-3396
- Phone
- (573) 686-5985
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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