Mary R Heidingsfelder, LMT
Massage Therapist in Long Beach, MS. Individual provider (NPI-1).
NPI number1962034462
StatusActive
Last updated in NPPESFeb 12, 2020
Details
- NPI
- 1962034462
- Entity type
- Individual (NPI-1)
- Name
- Mary R Heidingsfelder
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2020
- Certification date
- Feb 12, 2020
- Last updated
- Feb 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 2649 | MS | Yes |
Practice location
19009 Pineville RdLong Beach, MS 39560-4540
Phone 228-864-9200 · Fax 228-864-9222
Mailing address
19009 Pineville RdLong Beach, MS 39560-4540
Phone 228-864-9200 · Fax 228-864-9222
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All 7 Massage Therapist providers in Long Beach · All 190 providers in Long Beach
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