Individual
KARLY HEIMBUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2909 MANSFIELD BLVD, WESLEY CHAPEL, FL 33543-6931
(732) 977-1478
Mailing address
20212 AUTUMN FERN AVE, TAMPA, FL 33647-2914
(732) 977-1478
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL6193
FL
2255A2300X
Athletic Trainer
AT002518
GA
Other
Enumeration date
09/29/2015
Last updated
07/29/2022
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