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Amy Heitzig, PTA
NPI 1619386430 · on the registry since 2014
Practice
- Address
- 620 W Bridgeport St
White Hall, IL 62092 - Phone
- (217) 374-2144
- Organisation at this address
- Evervella Of White Hall Llc
White Hall Nursing And Rehabilitation Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Additional practice sites
- 1307 State Highway 109, Jerseyville, IL
- 4560 Se International Way Ste 101, Portland, OR
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois