Tyler J Hietpas
NPI #1982419735 in Little Chute, Wisconsin
Provider Information
- NPI Number
- 1982419735
- Entity Type
- Individual
- Name
- Tyler J Hietpas
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Feb 10, 2025
- Last Updated
- Feb 10, 2025
Practice Location
- Address
- 624 W MCKINLEY AVE
- City
- Little Chute
- State
- Wisconsin
- ZIP Code
- 54140-1525
- Phone
- (920) 213-9402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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