Individual
HEATHER RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1002 JENNINGS AVE APT 307, SANTA ROSA, CA 95401-4347
(707) 742-0840
Mailing address
1002 JENNINGS AVE APT 307, SANTA ROSA, CA 95401-4347
(707) 742-0840
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
66715
CA
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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