Provider Demographics
NPI:1699553834
Name:MORSE, HEATHER LYNN (MASSAGE THERAPIST)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:LYNN
Last Name:MORSE
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:LYNN
Other - Last Name:BESAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MASSAGE THERAPSIT
Mailing Address - Street 1:34 ASCUTNEY ST
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:VT
Mailing Address - Zip Code:05089-1107
Mailing Address - Country:US
Mailing Address - Phone:802-230-6748
Mailing Address - Fax:
Practice Address - Street 1:5 RIVER ST
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:VT
Practice Address - Zip Code:05089-1445
Practice Address - Country:US
Practice Address - Phone:802-291-3236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-19
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT164.0001433225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist