Mary Heitzig
Physical Therapist · Fieldon, IL
Practice location
17002 State Highway 16Fieldon, IL 62031-1109
- Phone
- (618) 376-4102
NPI record
- NPI
- 1366047607
- Entity type
- Individual (Type 1)
- Enumeration date
- December 3, 2020
- Last updated
- December 28, 2020
- Certified
- December 28, 2020
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X |
070025648 | IL |
About Mary Heitzig
Mary Heitzig is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 17002 State Highway 16, Fieldon, IL 62031-1109. The NPI number 1366047607 was assigned on December 3, 2020 and the record was last updated on December 28, 2020.
Mary Heitzig lists a license in the registry: #070025648 (IL) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mary Heitzig?
The NPI number is 1366047607.
What is the phone number of Mary Heitzig?
The phone number listed for the practice location is (618) 376-4102.
Where is Mary Heitzig located?
17002 State Highway 16, Fieldon, IL 62031-1109.
What is the taxonomy code for Mary Heitzig?
The primary taxonomy code is 225100000X – Physical Therapist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.