Individual
HEATHER RENHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 COOKS HILL RD, SUITE A, CENTRALIA, WA 98531-9072
(360) 736-2853
Mailing address
1800 COOKS HILL RD, SUITE A, CENTRALIA, WA 98531-9072
(360) 736-2853
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00021978
WA
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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