Tara Heisey, LMT

NPI #1245194059 in Ponderay, Idaho

Provider Information

NPI Number: 1245194059
Entity Type: Individual
Name: Tara Heisey, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 15, 2025
Last Updated: Dec 15, 2025

Practice Location

Address: 30544 HIGHWAY 200
City: Ponderay
State: Idaho
ZIP Code: 83852-5005
Phone: (208) 205-9559

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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