Provider Demographics
NPI:1033497433
Name:TORREZ, HEATHER DOMINIQUE
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:DOMINIQUE
Last Name:TORREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3118 BENFOLD ST
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-6456
Mailing Address - Country:US
Mailing Address - Phone:619-587-9309
Mailing Address - Fax:
Practice Address - Street 1:3118 BENFOLD ST
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-6456
Practice Address - Country:US
Practice Address - Phone:619-587-9309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-02
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0022689225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist