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

Heather Lynn Bannister, PTA

Individual provider Physical Therapy Assistant · NPI 1578042297

Heather Lynn Bannister, PTA is a Physical Therapy Assistant in Shawano, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2018.

Licensed in
WI
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1436 S Lincoln St
Shawano, WI 54166-3427
Phone: (715) 526-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2836-19 (WI)

Record details

NPI number1578042297
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 13, 2018
Last updated in NPPESAugust 13, 2018

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