White Hart, LLC

NPI #1467014985 in Herndon, Virginia

Provider Information

NPI Number: 1467014985
Entity Type: Organization
Organization Name: White Hart, LLC
Primary Specialty: Massage Therapist
Enumeration Date: Jul 4, 2019
Last Updated: Jul 4, 2019

Practice Location

Address: 491 CARLISLE DR STE A
City: Herndon
State: Virginia
ZIP Code: 20170-4895
Phone: (703) 869-9601

Authorized Official

Name: CASEY WHITE, LMT
Title: OWNER
Phone: (703) 869-9601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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