Heidi Lynn Ellwood MPT

NPI 1386766335 - Specialist - 174400000X

NPI Details
NPI 1386766335
Gender Female
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
20270 HARLEQUIN LN
DIXON MO, 65459-7524, US
Phone (573) 336-4965
Fax
Business Location
20270 HARLEQUIN LN
DIXON MO, 65459-7524, US
Phone (573) 336-4965
Fax
Toxanomy
Taxonomy Code 174400000X
License State Missouri
License Number 2005019387
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According to our database, Mrs. Heidi Lynn Ellwood MPT NPI is 1386766335, taxonomy code is 174400000X and license number is 2005019387, license state is located at Missouri. Heidi Lynn Ellwood MPT physically located at 20270 Harlequin Ln, Dixon MO, 65459-7524. NPI Number Heidi Lynn Ellwood MPT has the Individual type.

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1386766335 NPI number is provided on an as is basis without warranty of any kind. 1386766335 is maintained by the National Plan & Provider Enumeration System. The contents of Heidi Lynn Ellwood MPT are for informational purposes only.