Individual
MARY-HEATHER CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30138 N 121ST LN, PEORIA, AZ 85383-3489
(909) 844-1326
Mailing address
30138 N 121ST LN, PEORIA, AZ 85383-3489
(909) 844-1326
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
#MT-18093
AZ
363A00000X
Physician Assistant
Primary
—
AZ
Other
Enumeration date
07/09/2014
Last updated
04/13/2026
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