Individual
HEATHER RENEE CREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
47 WILLOW LN, UNION, WV 24983-8411
(304) 667-9190
Mailing address
47 WILLOW LN, UNION, WV 24983-8411
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2005-1658
WV
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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