Individual
KAILYN ELIZABETH HEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8927 N HESS ST, HAYDEN, ID 83835-9106
(208) 518-0705
Mailing address
8927 N HESS ST, HAYDEN, ID 83835-9106
(208) 518-0705
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6681005
ID
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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