National Provider Identifier
Heather Adell Green, LMT
Heather Adell Green, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Wellsville, NY and a listed phone number of (585) 593-1321.
Profile Overview
- NPI
- 1336851005
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- December 14, 2022
- Last Updated
- December 14, 2022
Practice Location
- 21 E State St
- Wellsville, NY 14895-1388
Phone: (585) 593-1321
Mailing Address
- 4406 River St Apt 2
- Scio, NY 14880-9517
Specialties
- Massage Therapist (225700000X)
Endpoints
- info@lagrasalon.com
Other Url | Wellsville, NY 14895
Business Email
Full Record
- NPI
- 1336851005
- Entity Type
- Individual
- Last Name
- Green
- First Name
- Heather
- Middle Name
- Adell
- Credential
- LMT
- Mailing Street Address
- 4406 River St Apt 2
- Mailing City
- Scio
- Mailing State
- NY
- Mailing ZIP Code
- 14880-9517
- Mailing Country
- US
- Mailing Phone
- (607) 220-8141
- Practice Street Address
- 21 E State St
- Practice City
- Wellsville
- Practice State
- NY
- Practice ZIP Code
- 14895-1388
- Practice Country
- US
- Practice Phone
- (585) 593-1321
- Enumeration Date
- December 14, 2022
- Last Updated
- December 14, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 14, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)