Individual
HEIDI NEITZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 NEWBURG RD, KNIGHTS HALL, LOUISVILLE, KY 40205-1863
(502) 272-8379
(502) 272-7341
Mailing address
2001 NEWBURG RD, KNIGHTS HALL, LOUISVILLE, KY 40205-1863
(502) 272-8379
(502) 272-7341
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT841
KY
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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