Individual
HEIDI BURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 E INDIANA AVE STE 116, COEUR D ALENE, ID 83814-2969
(208) 755-3571
Mailing address
6225 W TRESTLE ST UNIT 2, RATHDRUM, ID 83858-7263
(208) 755-3571
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2766
ID
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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