Healthcare Provider Details

I. General information

NPI: 1568727253
Provider Name (Legal Business Name): MILYNDA HECK LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2012
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 E 3RD AVE
ESCONDIDO CA
92025-4201
US

IV. Provider business mailing address

31877 PASEO LINDO
BONSALL CA
92003-4903
US

V. Phone/Fax

Practice location:
  • Phone: 760-807-1957
  • Fax:
Mailing address:
  • Phone: 760-807-1957
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number5662
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number5662
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number5662
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: