Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heath David Willis, ATC

Individual provider Athletic Trainer · NPI 1881632651

Heath David Willis, ATC is an Athletic Trainer in Poplar Bluff, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

2620 N Westwood Blvd
Poplar Bluff, MO 63901-3396
Phone: (573) 686-5985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2006001835 (MO)

Record details

NPI number1881632651
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESJuly 13, 2026
Mailing address1305 Sara Ln, Dexter, MO 63841-8247

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