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NPI Code Detail

MEDICARE: SANCEE LEIGH HEATON LMT

MEDICARE: SANCEE LEIGH HEATON LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist7918MT

General Provider Information

NPI Number : 1134592942
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANCEE LEIGH HEATON LMT
Provider Business Mailing Address
First Line : 41064 HWY93 FRONTAGE RD #5
Second Line :
City : RONAN
State : MT
Zip : 59864
Country : US
Telephone Number : 406-298-0141
Fax Number :
Provider Business Practice Location Address
First Line : 41064 US HWY93 FRONTAGE RD
Second Line :
City : RONAN
State : MT
Zip : 59864
Country : US
Telephone Number : 406-298-0141
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2015
Last Update Date : 11/03/2015

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Directions to “ SANCEE LEIGH HEATON LMT” Practice Location

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