Individual
AUSTIN JAMES HEFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
2201 W SUDBURY DR STE C, BLOOMINGTON, IN 47403-3812
(812) 333-1933
(812) 333-3991
Mailing address
2201 W SUDBURY DR STE C, BLOOMINGTON, IN 47403-3812
(812) 333-1933
(812) 333-3991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009367A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200929460
—
IN
Enumeration date
07/15/2008
Last updated
03/23/2011
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