NPI 1962034462 · live from the CMS NPI Registry
Mary R Heidingsfelder, LMT
Massage Therapist in Long Beach, MS. National Provider Identifier 1962034462, active.
NPI record
| NPI | 1962034462 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 19009 Pineville Rd, Long Beach, MS 39560 |
| Practice phone | 228-864-9200 |
| Enumerated | February 12, 2020 |
| Last updated | February 12, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 2649 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.