Individual provider · Type 1 NPI

Heidi Larena Van Etten, L.M.T

Massage Therapist · Ogden, UT

NPI number 1598035206 Active

Practice location

1140 36th St, Suite #145
Ogden, UT 84403-2050

Call (801) 917-4744 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X69018964701 (UT)

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 1598035206

Heidi Larena Van Etten, L.M.T's National Provider Identifier is 1598035206, issued on Jan 11, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ogden, UT. The record was last updated on Jan 11, 2012.