Individual provider · Type 1 NPI

Keith Heidbreder, PTA

Physical Therapy Assistant · Jefferson City, MO

NPI number 1861605644 Active

Practice location

1030 Edmonds St
Jefferson City, MO 65109

Call (573) 761-6700 Map

Mailing address

4217 St. Michael's Road
Lohman, MO 65057

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X115832 (MO)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1861605644

Keith Heidbreder, PTA's National Provider Identifier is 1861605644, issued on May 8, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Jefferson City, MO. The record was last updated on Jul 8, 2007.