Individual
HEATHER MARIE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LPN
Contact information
Practice address
102 E LAKE AVE, NEW CARLISLE, OH 45344-1417
(937) 679-5055
Mailing address
113 MEYER AVE, DAYTON, OH 45431-1948
(937) 237-7232
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.026151
OH
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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