Dawn Heiydt

Individual provider Active NPI Massage Therapist · Deer Lodge, MT

NPI 1649026113 · NPPES record last updated Apr 25, 2024

Key facts

NPI
1649026113
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
LMT-LIC-11969 (MT)
Practice address
307 1/2 Missouri Ave
Deer Lodge, MT 59722-1029
Phone
(406) 846-3448
Fax
(406) 846-2298
NPI assigned
Apr 25, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LMT-LIC-11969MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peaklife Rehab and Wellness, PLLC Current
since Apr 28, 2024
Accepting new patients

Locations

307 Missouri Ave
Deer Lodge, MT 59722
Phone (406) 846-3448

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X LMT-LIC-11969 MT Yes

Addresses

Primary practice location

307 1/2 Missouri Ave
Deer Lodge, MT 59722-1029

Mailing address

307 1/2 Missouri Ave
Deer Lodge, MT 59722-1029
Phone (406) 846-3448

Other providers in Deer Lodge, MT

All providers in Deer Lodge, MT · Massage Therapist in Montana

Sources for this page

Verify at the official NPI Registry.