Provider Demographics
NPI:1265477020
Name:HEU, LEROY Y M (ATC)
Entity Type:Individual
Prefix:MR
First Name:LEROY
Middle Name:Y M
Last Name:HEU
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1851
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93116-1851
Mailing Address - Country:US
Mailing Address - Phone:805-893-3424
Mailing Address - Fax:
Practice Address - Street 1:1 OCEANO AVE
Practice Address - Street 2:ICA BUILDING UCSB
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93109-2214
Practice Address - Country:US
Practice Address - Phone:805-893-3424
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer