Lee Deheer, ATC
Individual provider Active NPI Athletic Trainer · Glenside, PA
NPI 1124674874 · NPPES record last updated Aug 16, 2019
Key facts
- NPI
- 1124674874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 212 Harrison Ave
Glenside, PA 19038-3904 - Phone
- (267) 229-0545
- NPI assigned
- Aug 16, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
212 Harrison Ave
Glenside, PA 19038-3904
Mailing address
212 Harrison Ave
Glenside, PA 19038-3904
Phone (267) 229-0545
Other providers in Glenside, PA
- Barry F Darocha
- Lisa M. Day
- Deaf Services Center, LLC
- Carl Dean
- Steven Harold Deets
- Jessica Rose Dejneka
- Maryann Devlin
- Anna Juliet Diaz-Poore
- Divine Providence Village
- Sharon Doherty
All providers in Glenside, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.