Heidi Brogdon, L.M.T.

NPI #1346782125 in Banks, Oregon

Provider Information

NPI Number: 1346782125
Entity Type: Individual
Name: Heidi Brogdon, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Nov 10, 2016
Last Updated: Nov 10, 2016

Practice Location

Address: 12860 NW JARVIS PL APT 4
City: Banks
State: Oregon
ZIP Code: 97106-6059
Phone: (971) 226-8166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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