Individual
MRS. HEATHER ANN LILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11064
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11064
LMT#11064
OR
Enumeration date
05/15/2025
Last updated
05/15/2025
Update your record
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