Individual
HEIDI PEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
845 S MAIN ST STE 120, FOND DU LAC, WI 54935-6116
(920) 979-8531
Mailing address
845 S MAIN ST STE 120, FOND DU LAC, WI 54935-6116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5232
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40273900
—
WI
Enumeration date
04/17/2008
Last updated
10/17/2018
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