Provider Demographics
NPI:1891032140
Name:HEET, MARY H (LMT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:H
Last Name:HEET
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 1:372 HASTINGS AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-4712
Mailing Address - Country:US
Mailing Address - Phone:513-617-8746
Mailing Address - Fax:
Practice Address - Street 1:372 HASTINGS AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-4712
Practice Address - Country:US
Practice Address - Phone:513-617-8746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist