Individual
MRS. HEIDI MARIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1900 NE DIVISION ST, SUITE 106, BEND, OR 97701-3525
(541) 241-6488
Mailing address
1900 NE DIVISION ST, SUITE 106, BEND, OR 97701-3525
(541) 241-6488
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
19196
OR
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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