Tyler J Hietpas

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982419735

Tyler J Hietpas is a Student in an Organized Health Care Education/Training Program in Little Chute, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since: 2025
Specialties on file: 2

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Practice location Address checks out

624 W McKinley Ave
Little Chute, WI 54140-1525
Phone: (920) 213-9402

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary)	Taxonomy 390200000X
Athletic Trainer	Taxonomy 2255A2300X

Record details

NPI number	1982419735
Entity type	Individual (Type 1)
Gender	Male
Sole proprietor	Yes
NPI enumerated	February 10, 2025
Last updated in NPPES	February 10, 2025
Certification date	February 10, 2025
Mailing address	624 W McKinley Ave, Little Chute, WI 54140-1525