Individual
MRS. MICHELE RENEE HEISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
5408 DISCOVERY PARK BLVD, SUITE 200, WILLIAMSBURG, VA 23188-2893
(757) 220-8552
Mailing address
5408 DISCOVERY PARK BLVD, SUITE 200, WILLIAMSBURG, VA 23188-2893
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000928
VA
Other
Enumeration date
04/19/2006
Last updated
03/03/2015
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