Provider Demographics
NPI:1306291380
Name:SAVAGE, HEATHER M (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5650 W CENTRAL AVE STE C2
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1510
Mailing Address - Country:US
Mailing Address - Phone:419-345-1650
Mailing Address - Fax:
Practice Address - Street 1:5650 W CENTRAL AVE STE C2
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1510
Practice Address - Country:US
Practice Address - Phone:419-345-1650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-27
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.010862172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist