Healthcare Provider Details

I. General information

NPI: 1245689389
Provider Name (Legal Business Name): HEATHER BEATS LICENSED MASSAGE THE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 06/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E. HASTINGS RD. STE G
SPOKANE WA
99218
US

IV. Provider business mailing address

101 E. HASTINGS RD. STE G
SPOKANE WA
99218
US

V. Phone/Fax

Practice location:
  • Phone: 509-340-3303
  • Fax: 509-955-1323
Mailing address:
  • Phone: 509-340-3303
  • Fax: 509-955-1323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: