Organization
HEART LAKE HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC MASSEY (OWNER/OPERATOR)
(931) 698-9831
Entity
Organization
Contact information
Practice address
1004 EMERY BAY CIR, HENDERSONVILLE, TN 37075-4780
(931) 698-9831
Mailing address
1004 EMERY BAY CIR, HENDERSONVILLE, TN 37075-4780
(931) 698-9831
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/26/2022
Last updated
06/26/2022
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