Individual
JENNIFER ANNE HEIDEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
305 W 7TH AVE, EUGENE, OR 97401-2510
(541) 343-3477
Mailing address
2982 BAILEY LN, EUGENE, OR 97401-6925
(541) 603-6123
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24576
OR
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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