Individual
BARBARA HEAVNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9311 PETERSBURG PIKE, UPPER TRACT, WV 26866-8011
(304) 358-2591
Mailing address
9311 PETERSBURG PIKE, UPPER TRACT, WV 26866-8011
(304) 358-2591
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20072287
WV
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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