Caleb Heller, ATC
Individual provider Active NPI Athletic Trainer · Senecaville, OH
NPI 1356077366 · NPPES record last updated Aug 1, 2022
Key facts
- NPI
- 1356077366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT006676 (OH)
- Practice address
- 321 Rich St
Senecaville, OH 43780-9010 - Phone
- (740) 509-0361
- NPI assigned
- Aug 1, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT006676 | OH | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT006676 | OH | Yes |
Addresses
Primary practice location
321 Rich St
Senecaville, OH 43780-9010
Mailing address
321 Rich St
Senecaville, OH 43780-9010
Phone (740) 509-0361
Other providers in Senecaville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2022. 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.