MEDICARE: HEATHER LOHREY

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
1	225700000X	Massage Therapist	MA59570	FL

General Provider Information

NPI Number	:	1467763912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER LOHREY

Provider Business Mailing Address
First Line	:	810 E GILCHRIST CT APT 6A
Second Line	:
City	:	HERNANDO
State	:	FL
Zip	:	34442-8219
Country	:	US
Telephone Number	:	352-584-6964
Fax Number	:

Provider Business Practice Location Address
First Line	:	3035 DUMAS AVE
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-4570
Country	:	US
Telephone Number	:	352-584-6964
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2010
Last Update Date	:	05/23/2019

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Directions to “ HEATHER LOHREY ” Practice Location

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