Individual
HEATHER WALSTON BRUMLEVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4020 HETH WASHINGTON RD SW, CENTRAL, IN 47110-7822
(812) 732-4696
(812) 732-4696
Mailing address
4020 HETH WASHINGTON RD SW, CENTRAL, IN 47110-7822
(812) 732-4696
(812) 732-4696
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
KY 2563
KY
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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