Provider Demographics
NPI:1912274648
Name:LOYO, HEATHER KARINA (PHD, MBA, RMT)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:KARINA
Last Name:LOYO
Suffix:
Gender:F
Credentials:PHD, MBA, RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 S AUSTIN AVE
Mailing Address - Street 2:BUILDING 2 SUITE 202
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78626-5637
Mailing Address - Country:US
Mailing Address - Phone:512-686-1107
Mailing Address - Fax:
Practice Address - Street 1:501 S AUSTIN AVE
Practice Address - Street 2:BUILDING 2 SUITE 202
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78626-5637
Practice Address - Country:US
Practice Address - Phone:512-686-1107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-23
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT011711225700000X
174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
No174H00000XOther Service ProvidersHealth Educator