Karly Heimbuch
Specialist/Technologist, Athletic Trainer in Wesley Chapel, FL. Individual provider (NPI-1).
NPI number1053781450
StatusActive
Last updated in NPPESJul 29, 2022
Details
- NPI
- 1053781450
- Entity type
- Individual (NPI-1)
- Name
- Karly Heimbuch
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2015
- Certification date
- Jul 29, 2022
- Last updated
- Jul 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | Al6193 | FL | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT002518 | GA |
Practice location
2909 Mansfield BlvdWesley Chapel, FL 33543-6931
Phone 732-977-1478
Mailing address
20212 Autumn Fern AveTampa, FL 33647-2914
Phone 732-977-1478
Other practice locations
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All 11 Athletic Trainer providers in Wesley Chapel · All 2,637 providers in Wesley Chapel
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