Individual
ERIC HEIDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1401 144TH PL SE, MILL CREEK, WA 98012-1340
(425) 772-9241
Mailing address
1401 144TH PL SE, MILL CREEK, WA 98012-1340
(425) 772-9241
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60160216
WA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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