Individual
MICHAEL S HEFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
19 TYLER CT, WENTZVILLE, MO 63385-4665
(314) 960-3812
Mailing address
19 TYLER CT, WENTZVILLE, MO 63385-4665
(314) 960-3812
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
116261
MO
Other
Enumeration date
01/22/2007
Last updated
07/28/2008
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