Individual
MR. BRYCE MICHAEL HIETPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1 CAMPUS VIEW DR, VIENNA, WV 26105-8000
(304) 865-6000
Mailing address
2301 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2909
(920) 636-8509
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001739
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000039304
BOC CERTIFIED ATHLETIC TRAINER
—
01
—
AT001739
LICENSED ATHLETIC TRAINER
WV
Enumeration date
10/11/2020
Last updated
07/09/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us