NPI 1144742008

Jonathan Heifetz, CPO

Practitioner Prosthetist South Euclid, OH

Practice location

Address: 2120 S Green Rd STE 101, South Euclid, OH 44121-3317
Phone: (216) 371-0660

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence LPO.00220 (OH)

Other Prosthetist providers in Ohio →

Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence LPO.00220 (OH)

Other Orthotist providers in Ohio →

Registry record

NPI: 1144742008
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2017
Record last updated: 21 Jul 2022

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.