HANNAH HEACOCK

PORTLAND, OR
NPI1588066039
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  19485)
Additional Taxonomies172M00000X Mechanotherapist
(Licence: OR  19485)
Enumeration Date2014-09-16
Last Update Date2014-09-16
Business Address
-- HANNAH HEACOCK LMT
10151 SW BARBUR BLVD SUITE 200
PORTLAND, OR 97219-5931
Phone number: 503-245-0454
Mailing Address
-- HANNAH HEACOCK LMT
10151 SW BARBUR BLVD SUITE 200
PORTLAND, OR 97219-5931
Phone number: 503-245-0454