Provider Demographics
NPI:1194954909
Name:DEMERS, HEATHER M (LMT)
Entity type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:M
Last Name:DEMERS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1486 ELECTRIC AVENUE
Mailing Address - Street 2:PRO HEALTH CHIROPRACTIC (SUITE 103)
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229
Mailing Address - Country:US
Mailing Address - Phone:360-671-5644
Mailing Address - Fax:360-715-2864
Practice Address - Street 1:1486 ELECTRIC AVE
Practice Address - Street 2:(SUITE 103)
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-2410
Practice Address - Country:US
Practice Address - Phone:360-671-5644
Practice Address - Fax:360-715-2864
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA 00022372172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist