Individual
AMY HEBERGER EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
3500 BAY DR, KITTY HAWK, NC 27949-4719
(757) 871-3075
Mailing address
3500 BAY DR, KITTY HAWK, NC 27949-4719
(757) 871-3075
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14055
NC
Other
Enumeration date
05/01/2020
Last updated
05/01/2020
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