Individual
MRS. HEATHER WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
314 S OLD BETSY RD, KEENE, TX 76059-2022
(817) 645-0771
Mailing address
314 S OLD BETSY RD, KEENE, TX 76059-2022
(817) 645-0771
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT113514
TX
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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