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Mrs. Pamela Gail Heavner, LMT
Massage Therapist in Mechanicsville, Virginia
NPI 1437796950

Pamela Gail Heavner is a Massage Therapist based in Mechanicsville, VA. Pamela Gail Heavner practices in Mechanicsville, VA and has the professional credentials of LMT. The NPI Number for Pamela Gail Heavner is 1437796950 and holds a License No. 0019003993 (Virginia).

The current practice location address for Pamela Gail Heavner is 9291 Laurel Grove Rd, Mechanicsville, VA and can be reached out via phone at 804-559-7990.

Location: 9291 Laurel Grove Rd, Mechanicsville, VA, 23116-6570
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437796950
Provider Name
Pamela Gail Heavner
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
9291 Laurel Grove Rd, Mechanicsville, VA, 23116-6570
Phone Number
804-559-7990
Fax Number
Provider Enumeration Date
12/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0019003993 01 VA MEDICARE
institution
Provider Business Practice Location Address Details
Address
9291 Laurel Grove Rd
City
Mechanicsville
State
Virginia
Zip
23116-2969
Phone Number
804-559-7990
Fax Number
person
Provider Business Mailing Address Details
Address
9291 Laurel Grove Rd
City
Mechanicsville
State
Virginia
Zip
23116-2969
Phone Number
804-559-7990
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
0019003993 (Virginia)
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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