Individual
BEVERLY ANNE HEBELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501010072
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B512060
BCBS
MI
01
—
0N45090
GRP MEDICARE PTAN
—
01
—
1215930490
TYPE 2 NPI
MI
05
—
477-4403
—
MI
Enumeration date
07/08/2006
Last updated
06/17/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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