Individual
HEIDI JO MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
610 S ELIZABETH ST, MILTON FREEWATER, OR 97862-1445
(509) 520-8970
Mailing address
610 S ELIZABETH ST, MILTON FREEWATER, OR 97862-1445
(509) 520-8970
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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