Individual
HEIDI RENEE VALLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
141 SW G ST, GRANTS PASS, OR 97526-2413
(541) 659-9321
Mailing address
141 SW G ST, GRANTS PASS, OR 97526-2413
(541) 659-9321
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
13265
OR
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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