Individual
HEATHER S. HUEBNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1201 MAIN ST, UNION GROVE, WI 53182-1303
(262) 878-9602
(262) 878-9609
Mailing address
3048 MOMENTUM PL, CHICAGO, IL 60689-5330
(262) 657-0222
(262) 657-7190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11943-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
859400078
MEDICARE
WI
Enumeration date
07/27/2012
Last updated
12/05/2015
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