Individual
HEATHER L WISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1020 11TH ST # C, TELL CITY, IN 47586-2130
(812) 547-7770
(812) 547-7784
Mailing address
1106 E COUNTRYWOOD EST, HUNTINGBURG, IN 47542-9134
(812) 357-5118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007768A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05007768A
PHYSICAL THERAPY LICENSE
IN
Enumeration date
10/12/2006
Last updated
07/08/2007
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