Individual
DONNA HEISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51975 LOST ELK LN, CHARLO, MT 59824-9391
(406) 210-4372
Mailing address
51975 LOST ELK LN, CHARLO, MT 59824-9391
(406) 210-4372
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
330
MT
Other
Enumeration date
02/01/2015
Last updated
02/01/2015
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