MRS. Heidi Lynne Mayo, LMT

NPI #1376835116 in Mattydale, New York

Provider Information

NPI Number: 1376835116
Entity Type: Individual
Name: MRS. Heidi Lynne Mayo, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: May 12, 2011
Last Updated: May 17, 2011

Practice Location

Address: 2605 BREWERTON RD
City: Mattydale
State: New York
ZIP Code: 13211-1147
Phone: (315) 455-9355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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