Individual provider · Type 1 NPI
Heidi Brogdon, L.M.T.
Massage Therapist · Banks, OR
NPI number
1346782125
Active
Practice location
12860 NW Jarvis Pl Apt 4
Banks, OR 97106-6059
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 21891 (OR) |
| Massage Therapist | 225700000X | MT-20575 (AZ) |
Massage Therapist: 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.
Other massage therapist providers in Banks
About NPI 1346782125
Heidi Brogdon, L.M.T.'s National Provider Identifier is 1346782125, issued on Nov 10, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Banks, OR. The record was last updated on Nov 10, 2016.