Individual
HEIDI NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
5962 FAUNTLEROY WAY SW, SEATTLE, WA 98136-1633
(206) 420-7664
Mailing address
4102 DAYTON AVE N, SEATTLE, WA 98103-7723
(206) 718-4910
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60503822
WA
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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