Individual
AMANDA D HEPPNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2504 N 14TH RD, WORDEN, MT 59088-2116
(406) 861-9825
(406) 206-0064
Mailing address
2504 N 14TH RD, WORDEN, MT 59088-2116
(406) 861-9825
(406) 206-0064
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
158333
OK
225700000X
Massage Therapist
60914214
WA
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
158333
MASSAGE THERAPY
OK
01
—
60914214
MASSAGE THERAPY
WA
Enumeration date
12/05/2018
Last updated
08/16/2022
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