NPI 1013552835

Heidi Moring, LMT

Practitioner Massage Therapist Fort Wayne, IN

Practice location

Address: 4606 W Jefferson Blvd, Fort Wayne, IN 46804-6826
Phone: (260) 459-1111

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT21906969 (IN)

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Registry record

NPI: 1013552835
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2019
Record last updated: 17 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.