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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HEAVENLY GORE, MASSAGE THERAPIST

Active

HEAVENLY GORE, MASSAGE THERAPIST is a Massage Therapist healthcare provider located in CHEVY CHASE, Maryland. NPI 1063725612 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · CHEVY CHASE, MD

Registration Details

NPI Number
1063725612
Provider Type
Individual
Gender
Female
NPI Issued
Jul 23, 2010 (16.020842674207 yrs)
Last Updated
Jul 23, 2010
License
M04333 (MD)

Practice Information

Address
5530 WISCONSIN AVE
CHEVY CHASE, MD, 208154404
Browse MD providers · Browse ZIP 20815
Phone
3015406140
Fax
3015405190
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in CHEVY CHASE, MD

Name Credential NPI
JOSEPH GOTTLIEB LMT 1508308073
TIFFANY NESFIELD LMT 1770357451
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.