Individual
HEATHER KAYE DORITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5510 AVENUE H, AUSTIN, TX 78751-1321
(512) 730-1373
Mailing address
3616 FAR WEST BLVD, SUITE 117, PMB 257, AUSTIN, TX 78731
(512) 730-1373
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT105297
TX
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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