SearchMaine2255A2300X

Jonathan Heeren, ATC, LAT, CSCS

NPI 1225750680 · on the registry since 2022

Practice

Address
1614 Main St
Kents Hill, ME 04349
Phone
(207) 949-6639
Organisation at this address
Kents Hill School
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine