Individual
TERI LYNN HEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
11316 DAVENPORT ST, OMAHA, NE 68154-2630
(402) 980-3657
Mailing address
513 N 9TH ST, MISSOURI VALLEY, IA 51555-1207
(402) 980-3657
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
094565
IA
225700000X
Massage Therapist
Primary
2372
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891318150
NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM
—
Enumeration date
05/29/2020
Last updated
05/29/2020
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