Provider Demographics
NPI:1770236614
Name:WARNES, HEIDI DECKER (LMT)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:DECKER
Last Name:WARNES
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 LIBERTY HILL RD
Mailing Address - Street 2:
Mailing Address - City:HENNIKER
Mailing Address - State:NH
Mailing Address - Zip Code:03242-6045
Mailing Address - Country:US
Mailing Address - Phone:603-953-3476
Mailing Address - Fax:
Practice Address - Street 1:41 LIBERTY HILL RD
Practice Address - Street 2:
Practice Address - City:HENNIKER
Practice Address - State:NH
Practice Address - Zip Code:03242-6045
Practice Address - Country:US
Practice Address - Phone:603-953-3476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3743225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist