Individual provider · Type 1 NPI

Peggy Lucille Heatherly, LMT

Massage Therapist · Johnson City, TN

NPI number 1023429172 Active

Practice location

708 E Unaka Ave, Suite 3
Johnson City, TN 37601-4128

Call (423) 943-1600 Map

Mailing address

PO Box 1133
Johnson City, TN 37605-1133

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0000004981 (TN)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1023429172

Peggy Lucille Heatherly, LMT's National Provider Identifier is 1023429172, issued on May 12, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Johnson City, TN. The record was last updated on Oct 9, 2014.