Individual
REBECCA HEISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 30TH ST STE 219, BOULDER, CO 80301-1026
(303) 444-1171
Mailing address
2800 KALMIA AVE APT C118, BOULDER, CO 80301-1589
(267) 588-1007
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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