Individual
MRS. HEATHER HOPE HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
100 3RD AVE, CHISHOLM, MN 55719
(218) 969-8689
Mailing address
316 2ND ST NW, CHISHOLM, MN 55719
(218) 969-8689
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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