Individual
HEIDI GUTSCHOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2223 LIME KILN RD, GREEN BAY, WI 54311-6213
(920) 965-4715
Mailing address
2105 E ENTERPRISE AVE STE 113, APPLETON, WI 54913-7862
(920) 991-2561
(209) 912-5639
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4641
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40220200
—
WI
Enumeration date
07/27/2006
Last updated
07/11/2025
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