Individual
DENISE HEISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1 TIFFANY PT, BLOOMINGDALE, IL 60108-2936
(847) 404-2228
Mailing address
13912 REDMOND DR, HUNTLEY, IL 60142-6389
(847) 404-2228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227021606
IL
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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