MS. Lisa Marie Heenan, MASSAGE PRACTIONER

NPI #1336444249 in Redmond, Washington

Provider Information

NPI Number: 1336444249
Entity Type: Individual
Name: MS. Lisa Marie Heenan, MASSAGE PRACTIONER
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: MASSAGE PRACTIONER
Enumeration Date: Jan 24, 2011
Last Updated: Jan 24, 2011

Practice Location

Address: 4008 W LAKE SAMM PKWY NE APT D1
City: Redmond
State: Washington
ZIP Code: 98052-5627
Phone: (425) 463-5476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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