Individual provider · Type 1 NPI
Tyler J. Hietpas
Student in an Organized Health Care Education/Training Program · Little Chute, WI
NPI number
1982419735
Active
Practice location
624 W Mckinley Ave
Little Chute, WI 54140-1525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
| Athletic Trainer | 2255A2300X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1982419735
Tyler J. Hietpas's National Provider Identifier is 1982419735, issued on Feb 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Little Chute, WI. The record was last updated on Feb 10, 2025.