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Heavenly Gore, MASSAGETHERAPIST
Massage Therapist in Chevy Chase, Maryland
NPI 1063725612

Heavenly Gore is a Massage Therapist based in Germantown, MD. Heavenly Gore practices in Chevy Chase, MD and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Heavenly Gore is 1063725612 and holds a License No. M04333 (Maryland).

The current practice location address for Heavenly Gore is 5530 Wisconsin Ave, Chevy Chase, MD and can be reached out via phone at 301-540-6140 and via fax at 301-540-5190.

Location: 5530 Wisconsin Ave, Chevy Chase, MD, 20874-1186
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063725612
Provider Name
Heavenly Gore
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Female
Address
5530 Wisconsin Ave, Chevy Chase, MD, 20874-1186
Phone Number
301-540-6140
Fax Number
301-540-5190
Provider Enumeration Date
07/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5530 Wisconsin Ave
City
Chevy Chase
State
Maryland
Zip
20815-4404
Phone Number
301-540-6140
Fax Number
301-540-5190
person
Provider Business Mailing Address Details
Address
5530 Wisconsin Ave
City
Chevy Chase
State
Maryland
Zip
20815-4404
Phone Number
301-540-6140
Fax Number
301-540-5190
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
M04333 (Maryland)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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