NPI 1063826253

William Heffernan, ATC

Practitioner Athletic Trainer Manhattan, KS

Practice location

Address: 101 Peters Recreation Comp, Manhattan, KS 66506-5401
Phone: (785) 532-6980

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1063826253
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2014
Record last updated: 16 Jun 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.