National Provider Identifier
Holly Heitmann, D.P.T.
Holly Heitmann, D.P.T. is listed in the NPPES registry with a primary specialty of Specialist in Stanley, NY and a listed phone number of (585) 794-3464.
Profile Overview
- NPI
- 1255788964
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- May 23, 2016
- Last Updated
- May 23, 2016
Practice Location
- 4362 Number 9 RD
- Stanley, NY 14561-9559
Phone: (585) 794-3464
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1255788964
- Entity Type
- Individual
- Last Name
- Heitmann
- First Name
- Holly
- Name Prefix
- Dr.
- Credential
- D.P.T.
- Provider Other Last Name
- Bakker
- Provider Other First Name
- Holly
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- M.S.T., B.S
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 4362 Number 9 RD
- Mailing City
- Stanley
- Mailing State
- NY
- Mailing ZIP Code
- 14561-9559
- Mailing Country
- US
- Mailing Phone
- (585) 794-3464
- Practice Street Address
- 4362 Number 9 RD
- Practice City
- Stanley
- Practice State
- NY
- Practice ZIP Code
- 14561-9559
- Practice Country
- US
- Practice Phone
- (585) 794-3464
- Enumeration Date
- May 23, 2016
- Last Updated
- May 23, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)