Individual
HEIDI PAULSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, ATC
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2005010724
MO
2255A2300X
Athletic Trainer
2012018842
MO
Other
Enumeration date
09/18/2008
Last updated
06/24/2025
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