Provider Demographics
NPI:1780413336
Name:HART, MARGARET (LMT, CYT)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:HART
Suffix:
Gender:F
Credentials:LMT, CYT
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:
Other - Last Name:HART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT, CYT
Mailing Address - Street 1:3735 PICCADILLY CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5624
Mailing Address - Country:US
Mailing Address - Phone:757-813-1991
Mailing Address - Fax:
Practice Address - Street 1:719 PLUMAS ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-1735
Practice Address - Country:US
Practice Address - Phone:775-502-7618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12239225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist