Individual
HEATHER AUTUMN HORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
289 DOGWOOD DR, CADIZ, KY 42211-6681
(270) 206-1852
Mailing address
289 DOGWOOD DR, CADIZ, KY 42211-6681
(270) 206-1852
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
241567
KY
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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