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NPI Code Detail

MEDICARE: HEIDI A ARENDT PTA

MEDICARE: HEIDI A ARENDT PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant274WI

General Provider Information

NPI Number : 1629052329
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI A ARENDT PTA
Provider Business Mailing Address
First Line : 700 WEST AVE S
Second Line :
City : LA CROSSE
State : WI
Zip : 54601-4783
Country : US
Telephone Number : 608-791-4156
Fax Number : 608-791-9898
Provider Business Practice Location Address
First Line : 464 S SAINT JOSEPH AVE
Second Line :
City : ARCADIA
State : WI
Zip : 54612-1401
Country : US
Telephone Number : 608-323-3341
Fax Number : 608-323-2136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2005
Last Update Date : 07/08/2007

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Directions to “ HEIDI A ARENDT PTA” Practice Location

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