Individual
HEATHER HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 6TH AVE STE A, TACOMA, WA 98406-4034
(253) 590-6878
Mailing address
4141 6TH AVE STE A, TACOMA, WA 98406-4034
(253) 590-6878
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60288743
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45-5195888
HEALTH INSURANCE
WA
Enumeration date
03/29/2022
Last updated
03/29/2022
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