Doctor Name: | MRS. HEATHER A. M. KEVITT |
NPI Number: | 1407197536 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | HEATHER KEVITT, NCTM |
License Number: | |
Business Practice Address: | 23505 Smithtown Rd Suite 100 Excelsior, MN - 553314541 |
Business Phone Number: | 9524708555 |
Business Fax Number: | 9524018785 |
Mailing Address: | 5740 Echo Rd, EXCELSIOR |
State: | MN |
Postal Code: | 553312935 |
Phone Number: | 6127034390 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2013 |
NPI Last Update Date: | 03/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |