KEITH HEIDBREDER, PTA

Physical Therapy Assistant

Active Individual
NPI: 1861605644

Practice Address

1030 EDMONDS ST
Jefferson City, MO 65109

Phone: (573) 761-6700

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 115832 (MO)

Frequently Asked Questions

NPI 1861605644 is the National Provider Identifier for KEITH HEIDBREDER, PTA, a Physical Therapy Assistant provider located in Jefferson City, MO. This NPI was enumerated on May 8, 2007.
KEITH HEIDBREDER, PTA practices at 1030 EDMONDS ST, Jefferson City, MO 65109.

Quick Facts

NPI
1861605644
Type
Individual
Enumerated
May 8, 2007
Last Updated
Jul 8, 2007

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