Individual
KRISTINE ANN HEISEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8781 W ARDENE ST, BOISE, ID 83709-2699
(208) 229-8441
Mailing address
1015 SOLANA CREST ST, HENDERSON, NV 89052-5086
(702) 994-8814
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2271945
ID
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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