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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. NICHOLAS ROBERT HEEBNER, PHD, ATC

Active Sole Proprietor

DR. NICHOLAS ROBERT HEEBNER, PHD, ATC is a Athletic Trainer healthcare provider located in LEXINGTON, Kentucky. NPI 1700163623 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LEXINGTON, KY

Registration Details

NPI Number
1700163623
Provider Type
Individual
Gender
Male
NPI Issued
Nov 6, 2011 (14.746650764184 yrs)
Last Updated
Mar 9, 2021
Licenses
RT004559 (PA)
AT1311 (KY)
Sole Proprietor
Yes

Practice Information

Address
720 SPORTS CENTER DRIVE
SPORTS MEDICINE RESEARCH INSTITUTE
LEXINGTON, KY, 40506
Browse KY providers · Browse ZIP 40506
Phone
8593239850
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in LEXINGTON, KY

Name Credential NPI
AARON DAVID SCIASCIA MS, ATC, NS 1508841578
MR. KEITH J. WEBSTER ATC 1629055090
LARRY ROBERT ULLERY ATC 1558325076
SARAH JENNIFER WILLIAMS MS, ATC 1720042781
MR. DAVID C JACOBS MA, ATC 1982668943
MR. GREGORY LEE JACKSON MS, ATC 1356306203
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.