Individual
GEORGIA HEISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7750 PARK NORTH DR APT 7B, BEAUMONT, TX 77708-2415
(832) 849-8298
Mailing address
7750 PARK NORTH DR APT 7B, BEAUMONT, TX 77708-2415
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT126192
TX
305S00000X
Point of Service
MT126192
TX
Other
Enumeration date
05/22/2017
Last updated
05/22/2017
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