NPI 1689039604

Justin Hersberger, ATC

Practitioner Athletic Trainer Winchester, IN

Practice location

Address: 473 E Greenville Ave, Winchester, IN 47394-9436
Phone: (176) 558-4000
Mailing address: 205 Poplar Dr, Alexandria, IN 46001-1038

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 36002327A (IN)

Other Specialist/Technologist providers in Indiana →

Registry record

NPI: 1689039604
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Dec 2015
Record last updated: 17 Dec 2015

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.