Individual
JOSHUA DEAN HEINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
4420 DIXIE HWY, LOUISVILLE, KY 40216-2988
(502) 447-2750
Mailing address
4420 DIXIE HWY STE 122, LOUISVILLE, KY 40216-2986
(502) 447-2750
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1166
KY
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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