IndividualActive
Heston Allred
NPI 1063012789 · Electroneurodiagnostic Specialist/Technologist · Normal, IL
Provider details
- NPI number
- 1063012789
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Practice location
1604 Visa Dr Ste 1
Normal, IL 61761-2195
Phone: (309) 846-4716
Fax: (309) 454-7348
Mailing address
1604 Visa Dr Ste 1
Normal, IL 61761-2195
Registry dates
- Enumerated
- 2020-10-30
- Last updated
- 2020-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.