Provider Demographics
NPI:1336541515
Name:FRANKAITIS, HEATHER C (LMT)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:C
Last Name:FRANKAITIS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
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Mailing Address - Street 1:555 LITTLE EAST NECK RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WEST BABYLON
Mailing Address - State:NY
Mailing Address - Zip Code:11704
Mailing Address - Country:US
Mailing Address - Phone:631-587-9355
Mailing Address - Fax:631-321-8167
Practice Address - Street 1:555 LITTLE EAST NECK RD.
Practice Address - Street 2:SUITE 3
Practice Address - City:WEST BABYLON
Practice Address - State:NY
Practice Address - Zip Code:11704
Practice Address - Country:US
Practice Address - Phone:631-587-9355
Practice Address - Fax:631-321-8167
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY026432-1225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist