Heather E. Gotham Earls
Individual provider Active NPI Massage Therapist · Middlefield, OH
NPI 1699549352 · NPPES record last updated Nov 13, 2023
Key facts
- NPI
- 1699549352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 13399 (OH)
- Practice address
- 16030 East High St
Suite 6
Middlefield, OH 44062-1238 - Phone
- (440) 632-1112
- NPI assigned
- Nov 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13399 | OH | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenhart Chiropractic Clinic, Inc. | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 13399 | OH | Yes |
Addresses
Primary practice location
16030 East High St
Suite 6
Middlefield, OH 44062-1238
Mailing address
PO Box 1238
Middlefield, OH 44062-1238
Other names
- Heather Eloise Gotham
Other providers in Middlefield, OH
- Robert David Gavazzi
- Geauga Medical Group Inc
- Lorene Gingerich
- Miriam J Gingerich
- Amber Michelle Gingrich
- Christine Ryan Graley
- Ashley Michelle Green
- Benjamin Gutzky
- Carol L. Gwirtz
- Frank G Gwirtz
All providers in Middlefield, OH · Massage Therapist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.