NPI 1023436565

Jacob Heikkinen

Practitioner Athletic Trainer Detroit, MI

Practice location

Address: 6525 2nd Ave, Detroit, MI 48202-3006
Phone: (313) 972-4172

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 2601000980 (MI)

Other Specialist/Technologist providers in Michigan →

Registry record

NPI: 1023436565
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Apr 2014
Record last updated: 2 Apr 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.