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Heidi Brogdon, LMT
Massage Therapist in Banks, Oregon
NPI 1346782125

Heidi Brogdon is a Massage Therapist based in Banks, OR. Heidi Brogdon practices in Banks, OR and has the professional credentials of LMT. The NPI Number for Heidi Brogdon is 1346782125 and holds a License No. 21891 (Oregon).

The current practice location address for Heidi Brogdon is 12860 Nw Jarvis Pl Apt 4, Banks, OR and can be reached out via phone at 971-226-8166.

Location: 12860 Nw Jarvis Pl Apt 4, Banks, OR, 97106-6059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346782125
Provider Name
Heidi Brogdon
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
12860 Nw Jarvis Pl Apt 4, Banks, OR, 97106-6059
Phone Number
971-226-8166
Fax Number
Provider Enumeration Date
11/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12860 Nw Jarvis Pl Apt 4
City
Banks
State
Oregon
Zip
97106-6059
Phone Number
971-226-8166
Fax Number
person
Provider Business Mailing Address Details
Address
12860 Nw Jarvis Pl Apt 4
City
Banks
State
Oregon
Zip
97106-6059
Phone Number
971-226-8166
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
21891 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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