| Mrs Heidi Larena Van Etten, LMT | |
|
1140 36th St, Suite #145, Ogden, UT 84403-2050 | |
| (801) 917-4744 | |
| Not Available |
| Full Name | Mrs Heidi Larena Van Etten |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 1140 36th St, Ogden, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598035206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 69018964701 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Heidi Larena Van Etten, LMT 1140 36th St, Suite #145, Ogden, UT 84403-2050 Ph: (801) 917-4744 | Mrs Heidi Larena Van Etten, LMT 1140 36th St, Suite #145, Ogden, UT 84403-2050 Ph: (801) 917-4744 |
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