Provider Demographics
NPI:1861437600
Name:BJORNES, HEIDI LOUISE (MA, ATC)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:LOUISE
Last Name:BJORNES
Suffix:
Gender:F
Credentials:MA, ATC
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:LOUISE
Other - Last Name:HAMBURGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, ATC
Mailing Address - Street 1:7013 ARNOLD AVE
Mailing Address - Street 2:UNIT D
Mailing Address - City:ELMENDORF AFB
Mailing Address - State:AK
Mailing Address - Zip Code:99506-1104
Mailing Address - Country:US
Mailing Address - Phone:907-753-0289
Mailing Address - Fax:
Practice Address - Street 1:7013 ARNOLD AVE
Practice Address - Street 2:UNIT D
Practice Address - City:ELMENDORF AFB
Practice Address - State:AK
Practice Address - Zip Code:99506-1104
Practice Address - Country:US
Practice Address - Phone:907-753-0289
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer