Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IAN HEINICKE, PT, DPT
ActiveDR. IAN HEINICKE, PT, DPT is a Physical Therapy Assistant healthcare provider located in MATTAWAN, Michigan. NPI 1366923484 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MATTAWAN, MI
Registration Details
- NPI Number
- 1366923484
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 27, 2018 (7.7829174937606 yrs)
- Last Updated
- Apr 16, 2023
- License
-
5501018840 (MI)
Practice Information
- Address
-
23211 RED ARROW HWYMATTAWAN, MI, 490719701Browse MI providers · Browse ZIP 49071
- Phone
- 2696685930
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MATTAWAN, MI
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN JAMES LACEY | PT, DPT | 1447346036 |
| SHANNON L LOGSDON | MSPT | 1114071487 |
| MRS. CECILIA LIZ VIVES VASQUEZ | PHYSICAL THERAPIST | 1265629927 |
| JEANNE MARIE NYSTROM | — | 1972156883 |
| OWEN OSBORN | — | 1144940685 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.