Heidi Kathryn Bohrer
Physical Therapist Physical Therapist - Orthopedic
3117 Shore Dr Ste 101
Marinette
, Wisconsin 54143-4293
Heidi Kathryn Bohrer
Physical Therapist Physical Therapist - Orthopedic
3117 Shore Dr Ste 101
Marinette
, Wisconsin 54143-4293
(920) 676-9514
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Heidi Kathryn Bohrer
- 1731 Sunnyside Ln
- De Pere, WI
- Zip : 54115-3465
- Phone : (920) 676-9514
Second Address
- Heidi Kathryn Bohrer
- 3117 Shore Dr Ste 101
- Marinette, WI
- Zip : 54143-4293
- Fax : (715) 732-8220
- Phone : (715) 732-5111
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Is Heidi Kathryn Bohrer a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 15011-24 | WI |
| N | 2251X0800X | Physical Therapist - Orthopedic | 15011-24 | WI |
National Provider Identifier
| NPI | 1073130670 |
|---|---|
| Provider Name | Heidi Kathryn Bohrer |
| First Address | De Pere, WI 54115-3465 |
| Second Address | Marinette, WI 54143-4293 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2020 |
| Last Update Date | 29/12/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.