Provider Demographics
NPI:1972638575
Name:GALASKE, HEATHER M (LMT)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:M
Last Name:GALASKE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10140 CROSSING DR APT 180
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45241-4549
Mailing Address - Country:US
Mailing Address - Phone:513-851-8686
Mailing Address - Fax:513-851-8786
Practice Address - Street 1:415 GLENSPRINGS DR., STE. 305
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45246
Practice Address - Country:US
Practice Address - Phone:513-851-8686
Practice Address - Fax:513-851-8786
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH33-013384225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist