Provider Demographics
NPI:1336699164
Name:HEPTING, SAVANNAH PAIGE
Entity Type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:PAIGE
Last Name:HEPTING
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 1:3714 N NORMANDIE ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-3051
Mailing Address - Country:US
Mailing Address - Phone:509-999-8845
Mailing Address - Fax:
Practice Address - Street 1:3714 N NORMANDIE ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-3051
Practice Address - Country:US
Practice Address - Phone:509-999-4229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist