Healthcare Provider Details

I. General information

NPI: 1922706019
Provider Name (Legal Business Name): HEIWA CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 02/20/2023
Certification Date: 02/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8949 STATE ROUTE 800 NE
MINERAL CITY OH
44656-9214
US

IV. Provider business mailing address

8949 STATE ROUTE 800 NE
MINERAL CITY OH
44656-9214
US

V. Phone/Fax

Practice location:
  • Phone: 330-859-2913
  • Fax:
Mailing address:
  • Phone: 330-859-2913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: CHERIE WEBER
Title or Position: OWNER
Credential:
Phone: 330-859-2913