Heidi M Kodesh

NPI #1053543884 in Rice Lake, Wisconsin

Provider Information

NPI Number: 1053543884
Entity Type: Individual
Name: Heidi M Kodesh
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Aug 12, 2009
Last Updated: Aug 12, 2009

Practice Location

Address: 431 S MAIN ST
City: Rice Lake
State: Wisconsin
ZIP Code: 54868-2241
Phone: (715) 736-2338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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