Provider Demographics
NPI:1346973898
Name:ATKINS, HEATHER K (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:K
Last Name:ATKINS
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15555 N FRANK LLOYD WRIGHT BLVD APT 1014
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2024
Mailing Address - Country:US
Mailing Address - Phone:808-443-1274
Mailing Address - Fax:
Practice Address - Street 1:15555 N FRANK LLOYD WRIGHT BLVD APT 1014
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2024
Practice Address - Country:US
Practice Address - Phone:808-443-1274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZMT-27492225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist