Individual provider · Type 1 NPI

Heavenly Gore, MASSAGE THERAPIST

Massage Therapist · Chevy Chase, MD

NPI number 1063725612 Active

Practice location

5530 Wisconsin Ave
Chevy Chase, MD 20815-4404

Call (301) 540-6140 Map

Fax (301) 540-5190

Mailing address

20410 Century Blvd, Nrh Regional Rehab - Suite 215
Germantown, MD 20874-1186

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XM04333 (MD)

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 1063725612

Heavenly Gore, MASSAGE THERAPIST's National Provider Identifier is 1063725612, issued on Jul 23, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chevy Chase, MD. The record was last updated on Jul 23, 2010.