Individual
MICHELLE KAY HEITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1234 PEARL ST BSMT SUITE5, EUGENE, OR 97401-3642
(309) 369-7372
Mailing address
1108 W 2ND AVE, EUGENE, OR 97402-4883
(309) 369-7372
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20759
OR
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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