Individual
YVONNE HEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
515 PINE ST STE G, SANDPOINT, ID 83864-1658
(208) 502-0728
Mailing address
698 LAKESHORE DR, SAGLE, ID 83860-9279
(808) 264-6272
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-3588
ID
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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