NPI 1376968305

Martha Lyn Heise, LMT

Practitioner Massage Therapist East Stroudsburg, PA

Practice location

Address: 243 E Brown St, East Stroudsburg, PA 18301-3005
Phone: (570) 216-8242
Fax: (888) 378-1829
Mailing address: 493 Hidden Lake Dr, East Stroudsburg, PA 18302-9162

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MSG003313 (PA)

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Registry record

NPI: 1376968305
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Feb 2014
Record last updated: 27 Feb 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.