Provider Demographics
NPI:1184768434
Name:SCHULZ, HEIDI ANN (PT)
Entity type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:ANN
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 AMERICAN BLVD W STE 300
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-4442
Mailing Address - Country:US
Mailing Address - Phone:952-512-5600
Mailing Address - Fax:
Practice Address - Street 1:2651 HILLCREST DR STE 101
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-9919
Practice Address - Country:US
Practice Address - Phone:800-423-1088
Practice Address - Fax:651-275-2795
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10746225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
513L5CHOtherBCBS MN
B17211049511OtherPREFERRED ONE
WI36134100Medicaid
1184768434OtherAM PPO
HP76361OtherHEALTHPARTNERS
182849OtherUCARE
5751300001OtherDMERC
64-07504OtherMEDICA
WI36134100Medicaid
1184768434OtherAM PPO