Individual
HEATHER GOODROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1134 N EVERETT RD, ROSCOMMON, MI 48653-8531
(989) 429-2245
Mailing address
1134 N EVERETT RD, ROSCOMMON, MI 48653-8531
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006657
MI
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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