Most Relevant Information
Provider Data
| NPI Number: | 1003206814 |
| Provider Name: | DONNA HEISEL |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 330 |
Most Important Dates
| Enumeration Date: | 02/01/2015 |
| Last Updated: | 02/01/2015 |
Provider Practice Location
51975 LOST ELK LN
CHARLO
MT
598249391
Practice Location Phone/Fax
| Phone: | 4062104372 |
| Fax: |
Provider Mailing Location
51975 LOST ELK LN
CHARLO
MT
598249391
Provider Mailing Phone/Fax
| Phone: | 4062104372 |
| Fax: |