Individual
HEATHER GOODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
119 N SHELBY ST, CADILLAC, MI 49601-1928
(231) 779-1100
Mailing address
119 N SHELBY ST, CADILLAC, MI 49601-1928
(231) 779-1100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501001808
MI
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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