Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jeremy David Heller, MA, ATC, PES, CES

Individual provider Athletic Trainer · NPI 1720424005

Mr. Jeremy David Heller, MA, ATC, PES, CES is an Athletic Trainer in Lakewood, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2013
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1467 Wayne Ave
Lakewood, OH 44107-3422
Phone: (216) 712-7818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence AT 002688 (OH)

Record details

NPI number1720424005
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , ATC , PES , CES
Sole proprietorYes
NPI enumeratedMay 14, 2013
Last updated in NPPESMay 14, 2013

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