Individual provider · Type 1 NPI
Heidi Colleen Ivanovich, LMT
Massage Therapist · Murrieta, CA
NPI number
1457242471
Active
Practice location
38107 Pine Creek Pl
Murrieta, CA 92562-3425
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 49207 (CA) |
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.
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About NPI 1457242471
Heidi Colleen Ivanovich, LMT's National Provider Identifier is 1457242471, issued on Jul 9, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Murrieta, CA. The record was last updated on Jul 9, 2025.