Individual
HEATHER L GARDENHIRE-KOGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, LMT
Contact information
Practice address
3300 N BUTLER AVE STE 206, FARMINGTON, NM 87401-2362
(505) 793-1760
Mailing address
3300 N BUTLER AVE STE 206, FARMINGTON, NM 87401-2362
(505) 793-1760
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT8310
NM
Other
Enumeration date
03/17/2020
Last updated
02/16/2023
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