Individual
HEATHER LYN SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
285 SPRING STREET, FRIDAY HARBOR, WA 98250
(360) 378-3637
Mailing address
PO BOX 2645, FRIDAY HARBOR, WA 98250-1725
(360) 378-3637
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00025257
WA
Other
Enumeration date
08/10/2012
Last updated
08/10/2012
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