Doctor Name: | AMY M. HEISER |
NPI Number: | 1225202500 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | COTA, MT |
License Number: | 3701-46 |
Business Practice Address: | 348 E Le Capitaine Cir Green Bay, WI - 543025158 |
Business Phone Number: | 9208192555 |
Business Fax Number: | |
Mailing Address: | 348 E Le Capitaine Cir, GREEN BAY |
State: | WI |
Postal Code: | 543025158 |
Phone Number: | 9208192555 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2008 |
NPI Last Update Date: | 06/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 3701-46 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |