Provider Demographics
NPI:1457055220
Name:STRAUCH, HEATHER N (CTNC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:N
Last Name:STRAUCH
Suffix:
Gender:F
Credentials:CTNC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:GRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8317 US HIGHWAY 322
Mailing Address - Street 2:
Mailing Address - City:HARTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:16131-1215
Mailing Address - Country:US
Mailing Address - Phone:970-250-7912
Mailing Address - Fax:
Practice Address - Street 1:395 HIGH ST
Practice Address - Street 2:
Practice Address - City:CONNEAUT LAKE
Practice Address - State:PA
Practice Address - Zip Code:16316-7250
Practice Address - Country:US
Practice Address - Phone:970-250-7912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach