Mr. Keith Ronald Heinzelman
Physical Therapist Hand
563 Madison Ave N
Bainbridge Island
, Washington 98110-1768
Mr. Keith Ronald Heinzelman
Physical Therapist Hand
563 Madison Ave N
Bainbridge Island
, Washington 98110-1768
(206) 855-8465
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About
Features
Specialties
- Physical Therapist
- Hand
Languages spoken
- English
Location
First Address
- Mr. Keith Ronald Heinzelman
- 563 Madison Ave N
- Bainbridge Island, WA
- Zip : 98110-1768
- Fax : (206) 855-8465
- Phone : (206) 855-8455
Second Address
- Mr. Keith Ronald Heinzelman
- 563 Madison Ave N
- Bainbridge Island, WA
- Zip : 98110-1768
- Fax : (206) 855-8465
- Phone : (206) 855-8455
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT00008747 | WA |
| N | 2251H1200X | Hand | WA |
National Provider Identifier
| NPI | 1194826479 |
|---|---|
| Provider Name | Mr. Keith Ronald Heinzelman |
| First Address | Bainbridge Island, WA 98110-1768 |
| Second Address | Bainbridge Island, WA 98110-1768 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/09/2006 |
| Last Update Date | 28/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8450744 | (05) | WA |
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.