Individual
JONATHAN HEEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CSCS
Contact information
Practice address
1614 MAIN ST, KENTS HILL, ME 04349-4200
(207) 949-6639
Mailing address
1614 MAIN ST, KENTS HILL, ME 04349-4200
(207) 949-6639
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT574
ME
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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