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Mrs. Heidi Lynn Ellwood, MPT
Specialist in Dixon, Missouri
NPI 1386766335

Heidi Lynn Ellwood is a Specialist based in Dixon, MO. Heidi Lynn Ellwood practices in Dixon, MO and has the professional credentials of MPT. The NPI Number for Heidi Lynn Ellwood is 1386766335 and holds a License No. 2005019387 (Missouri).

The current practice location address for Heidi Lynn Ellwood is 20270 Harlequin Ln, Dixon, MO and can be reached out via phone at 573-336-4965.

Location: 20270 Harlequin Ln, Dixon, MO, 65459-7524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386766335
Provider Name
Heidi Lynn Ellwood
Credential
MPT
Provider Entity Type
Individual
Gender
Female
Address
20270 Harlequin Ln, Dixon, MO, 65459-7524
Phone Number
573-336-4965
Fax Number
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20270 Harlequin Ln
City
Dixon
State
Missouri
Zip
65459-7524
Phone Number
573-336-4965
Fax Number
person
Provider Business Mailing Address Details
Address
20270 Harlequin Ln
City
Dixon
State
Missouri
Zip
65459-7524
Phone Number
573-336-4965
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2005019387 (Missouri)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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