National Provider Identifier

Henry C Heller

Henry C Heller is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (551) 427-1721.

NPI 1962960310Ithaca, NYAthletic Trainer

Profile Overview

NPI
1962960310
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
March 05, 2019
Last Updated
March 05, 2019

Practice Location

  • 953 Danby RD
  • Ithaca, NY 14850-7002

Phone: (551) 427-1721

Specialties

  • Athletic Trainer (2255A2300X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1962960310
Entity Type
Individual
Last Name
Heller
First Name
Henry
Middle Name
C
Mailing Street Address
953 Danby RD
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-7002
Mailing Country
US
Mailing Phone
(551) 427-1721
Practice Street Address
953 Danby RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-7002
Practice Country
US
Practice Phone
(551) 427-1721
Enumeration Date
March 05, 2019
Last Updated
March 05, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X), Student in an Organized Health Care Education/Training Program (390200000X)