Individual
JACOB HEINZELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5333 N PORT WASHINGTON RD # B, GLENDALE, WI 53217-4914
(414) 716-1770
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17245-24
WI
Other
Enumeration date
05/28/2025
Last updated
05/29/2025
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