National Provider Identifier

Heather Carroll

Heather Carroll is listed in the NPPES registry with a primary specialty of Massage Therapist in Avon, NY and a listed phone number of (585) 226-8040.

NPI 1912033101Avon, NYMassage Therapist

Profile Overview

NPI
1912033101
Provider Type
Individual
Primary Specialty
Massage Therapist
Enumeration Date
February 24, 2007
Last Updated
July 08, 2007

Practice Location

  • 1241 E River RD
  • Avon, NY 14414-9539

Phone: (585) 226-8040

Mailing Address

  • 16 Zornow Dr
  • Rochester, NY 14623-4640

Specialties

  • Massage Therapist (225700000X)
Full Record
NPI
1912033101
Entity Type
Individual
Last Name
Carroll
First Name
Heather
Mailing Street Address
16 Zornow Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14623-4640
Mailing Country
US
Practice Street Address
1241 E River RD
Practice City
Avon
Practice State
NY
Practice ZIP Code
14414-9539
Practice Country
US
Practice Phone
(585) 226-8040
Enumeration Date
February 24, 2007
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Massage Therapist (225700000X)