Individual
DR. NICHOLAS ROBERT HEEBNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, ATC
Contact information
Practice address
720 SPORTS CENTER DRIVE, SPORTS MEDICINE RESEARCH INSTITUTE, LEXINGTON, KY 40506
(859) 323-9850
Mailing address
720 SPORTS CENTER DRIVE, SPORTS MEDICINE RESEARCH INSTITUTE, LEXINGTON, KY 40506
(859) 323-9850
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1311
KY
2255A2300X
Athletic Trainer
RT004559
PA
Other
Enumeration date
11/06/2011
Last updated
03/09/2021
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