Individual
DR. BRYAN HEIDERSCHEIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T., PH.D.
Contact information
Practice address
621 SCIENCE DR, UW SPORTS REHABILITATION, MADISON, WI 53711-1074
(608) 263-4765
Mailing address
621 SCIENCE DR, UW SPORTS REHABILITATION, MADISON, WI 53711-1074
(608) 263-4765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4896-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4896-024
PHYSICAL THERAPIST
WI
Enumeration date
05/25/2007
Last updated
07/08/2007
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