Heather Weaver, LMT
Massage Therapist in Keene, TX. Individual provider (NPI-1).
NPI number1760748511
StatusActive
Last updated in NPPESApr 5, 2012
Details
- NPI
- 1760748511
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Heather Weaver
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2012
- Last updated
- Apr 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MT113514 | TX | Yes |
Practice location
314 S Old Betsy RdKeene, TX 76059-2022
Phone 817-645-0771
Mailing address
314 S Old Betsy RdKeene, TX 76059-2022
Phone 817-645-0771
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