Individual
KERI ANN HEITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CPT, NCBTMB
Contact information
Practice address
10215 SW PARK WAY, SUITE B, PORTLAND, OR 97225-5036
(541) 844-9495
Mailing address
442 SW VALERIA VIEW DR, 209, PORTLAND, OR 97225-7074
(541) 844-9495
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8190
OR
Other
Enumeration date
07/01/2010
Last updated
02/07/2012
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