Individual
BART HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8554 HWY 51 NORTH, MINOCQUA, WI 54548
(715) 358-1929
(715) 356-4031
Mailing address
PO BOX 11, MINOCQUA, WI 54548-0011
(715) 358-1929
(715) 356-4031
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2936-04
WI
2251X0800X
Orthopedic Physical Therapist
2936-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40237800
—
WI
Enumeration date
08/29/2006
Last updated
04/17/2009
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