Individual
KATHERINE HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5705 LYNNHAVEN PKWY STE 105, VIRGINIA BEACH, VA 23464-9157
(757) 450-5702
Mailing address
5190 EARHART CIR, VIRGINIA BEACH, VA 23464-8204
(757) 450-5702
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018363
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019018363
VA NURSING LICENSE
VA
Enumeration date
07/27/2022
Last updated
10/20/2024
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