Heidi Hansen, LMP

NPI #1962623686 in Longview, Washington

Provider Information

NPI Number: 1962623686
Entity Type: Individual
Name: Heidi Hansen, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: May 1, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 755 VANDERCOOK WAY
Address 2: SUITE 101
City: Longview
State: Washington
ZIP Code: 98632-4050
Phone: (360) 575-8897

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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