Individual
HEATHER DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1971 UNIVERSITY BLVD, LYNCHBURG, VA 24515-0002
(605) 850-8968
Mailing address
30627 130TH ST, SELBY, SD 57472-5806
(605) 850-8968
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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