Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heavenly Gore, MASSAGETHERAPIST

Individual provider Massage Therapist · NPI 1063725612

Heavenly Gore, MASSAGETHERAPIST is a Massage Therapist in Chevy Chase, Maryland. Licensed in Maryland. Registered with an NPI since 2010.

Licensed in
MD
In the registry since
2010

Practice location Address checks out

5530 Wisconsin Ave
Chevy Chase, MD 20815-4404
Phone: (301) 540-6140
Fax: (301) 540-5190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence M04333 (MD)

Record details

NPI number1063725612
Entity typeIndividual (Type 1)
GenderFemale
Credentials MASSAGETHERAPIST
Sole proprietorNo
NPI enumeratedJuly 23, 2010
Last updated in NPPESJuly 23, 2010

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