Individual
MR. MICHAEL J HEINZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1535 NE DOUGLAS ST, LEES SUMMIT, MO 64086-4611
(816) 347-1596
Mailing address
2817 NE MARYWOOD LN, LEES SUMMIT, MO 64086-7081
(816) 645-3361
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-03542
KS
2251X0800X
Orthopedic Physical Therapist
Primary
2003020133
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003020133
LICENSE #
MO
Enumeration date
08/27/2006
Last updated
06/23/2022
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