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NPI Code Detail

MEDICARE: BRANDAN HELLER P.T.

MEDICARE:   BRANDAN  HELLER  P.T.
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
12251X0800XOrthopedic Physical Therapist8924OH
22255A2300XAthletic Trainer1082OH

General Provider Information

NPI Number : 1811987480
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDAN HELLER P.T.
Provider Business Mailing Address
First Line : 8745 BLACKBIRD LN
Second Line :
City : THORNVILLE
State : OH
Zip : 43076-9515
Country : US
Telephone Number : 740-246-5483
Fax Number :
Provider Business Practice Location Address
First Line : 8745 BLACKBIRD LN
Second Line :
City : THORNVILLE
State : OH
Zip : 43076-9515
Country : US
Telephone Number : 740-246-5483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 09/11/2025

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Directions to “ BRANDAN HELLER P.T.” Practice Location

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