Heather N Beck
Individual provider Active NPI Massage Therapist · Lawton, OK
NPI 1992543631 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1992543631
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 180747 (OK)
- Practice address
- 1402 NW Ferris Ave
Lawton, OK 73507-5747 - Phone
- (580) 583-1683
- NPI assigned
- Jul 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 180747 | OK | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | 180747 | OK | Yes |
Addresses
Primary practice location
1402 NW Ferris Ave
Lawton, OK 73507-5747
Mailing address
4602 SE Caber Cir
Lawton, OK 73501-6624
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. 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.