Individual
HEIDI HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 N 100 E, SUITE H, RICHFIELD, UT 84701-2132
(435) 893-0158
Mailing address
180 N 100 E, SUITE H, RICHFIELD, UT 84701-2132
(435) 893-0158
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4870605-4701
UT
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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