Individual
DANIELLE REBECCA HEIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, SCAT
Contact information
Practice address
105 ASHLAND AVE, CLINTON, SC 29325-2960
(864) 541-4690
Mailing address
403 ELIZABETH ST, CLINTON, SC 29325-1917
(404) 664-6590
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2680
SC
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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