Mary R Heidingsfelder, LMT

NPI #1962034462 in Long Beach, Mississippi

Provider Information

NPI Number: 1962034462
Entity Type: Individual
Name: Mary R Heidingsfelder, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 12, 2020
Last Updated: Feb 12, 2020

Practice Location

Address: 19009 PINEVILLE RD
City: Long Beach
State: Mississippi
ZIP Code: 39560-4540
Phone: (228) 864-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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