Individual
HEATHER ANN WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
975 CENTRAL AVE, LOS ALAMOS, NM 87544-3237
(505) 662-7777
Mailing address
975 CENTRAL AVE, LOS ALAMOS, NM 87544-3237
(505) 662-7777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8960
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8960
MASSAGE THERAPY BOARD
NM
Enumeration date
09/25/2018
Last updated
09/25/2018
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