Individual
HEIDI COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4520 INTELCO LOOP SE STE 4E, LACEY, WA 98503-6012
(360) 402-6776
Mailing address
1788 53RD LOOP SE, TUMWATER, WA 98501-8002
(360) 570-1717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA61079674
WA
Other
Enumeration date
11/13/2020
Last updated
11/13/2020
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