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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL JOHN HEIDT, LAT

Active Sole Proprietor

MICHAEL JOHN HEIDT, LAT is a Athletic Trainer healthcare provider located in TWO RIVERS, Wisconsin. NPI 1518014174 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · TWO RIVERS, WI

Registration Details

NPI Number
1518014174
Provider Type
Individual
Gender
Male
NPI Issued
Jan 5, 2007 (19.580925061241 yrs)
Last Updated
Jul 8, 2007
License
85-039 (WI)
Sole Proprietor
Yes

Practice Information

Address
5000 MEMORIAL DR
REHABILITATION DEPARTMENT
TWO RIVERS, WI, 542413900
Browse WI providers · Browse ZIP 54241
Phone
9207945166
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in TWO RIVERS, WI

Name Credential NPI
MR. PAUL STEVEN NEUENFELDT LAT, ATC 1720107378
ALLISON PIERCE LAT 1962875385
AMY HAGEN 1477007888
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.