NPI 1023429172

Peggy Lucille Heatherly, LMT

Practitioner Massage Therapist Johnson City, TN

Practice location

Address: 708 E Unaka Ave Suite 3, Johnson City, TN 37601-4128
Phone: (423) 943-1600
Mailing address: PO Box 1133, Johnson City, TN 37605-1133

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 0000004981 (TN)

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Registry record

NPI: 1023429172
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 May 2014
Record last updated: 9 Oct 2014

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.