Individual
HEIDI HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
755 VANDERCOOK WAY, SUITE 101, LONGVIEW, WA 98632-4050
(360) 575-8897
(360) 575-8898
Mailing address
755 VANDERCOOK WAY, SUITE 101, LONGVIEW, WA 98632-4050
(360) 575-8897
(360) 575-8898
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00023535
WA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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