Individual
KAYLA H HEITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CA
Contact information
Practice address
77 NE GRAND AVE APT 325, PORTLAND, OR 97232-3547
(971) 202-6717
Mailing address
77 NE GRAND AVE APT 325, PORTLAND, OR 97232-3547
(971) 202-6717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28922
OR
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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