Individual
MS. KRISTINE VIRGINIA HEIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, BCTMB
Contact information
Practice address
16C POLLY DRUMMOND HILL RD, NEWARK, DE 19711-5703
(302) 584-7064
Mailing address
8 RANKIN RD, NEWARK, DE 19711-4851
(302) 584-7064
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0001815
DE
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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