Individual
KIRAH J HEIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
826 2ND AVE N, ONALASKA, WI 54650-2208
(087) 381-4896
(608) 781-9580
Mailing address
831 WEST AVE, ONALASKA, WI 54650-2264
(608) 738-1489
(608) 781-9580
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11327
WI
Other
Enumeration date
11/27/2019
Last updated
11/27/2023
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