Individual
HEATHER EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 2ND ST, MASON, WV 25260
(740) 416-1827
Mailing address
30877 NEECE RD, MIDDLEPORT, OH 45760-9747
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20010896
WV
Other
Enumeration date
08/13/2014
Last updated
08/13/2014
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