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

Keith Heidbreder, PTA

Individual provider Physical Therapy Assistant · NPI 1861605644

Keith Heidbreder, PTA is a Physical Therapy Assistant in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
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

1030 Edmonds St
Jefferson City, MO 65109
Phone: (573) 761-6700
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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 115832 (MO)

Record details

NPI number1861605644
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4217 St. Michael'S Road, Lohman, MO 65057

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