NPI 1124477260

Larry Heck, LATATC

Practitioner Athletic Trainer Stamford, CT

Practice location

Address: 1241 E Main St, Stamford, CT 06902-3520
Phone: (203) 918-4161

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence LAT2859 (NC)

Other Specialist/Technologist providers in Connecticut →

Registry record

NPI: 1124477260
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2016
Record last updated: 9 Jun 2016

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.