Individual
WILLIAM HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
101 PETERS RECREATION COMP, MANHATTAN, KS 66506-5401
(785) 532-6980
Mailing address
101 PETERS RECREATION COMP, MANHATTAN, KS 66506-5401
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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