Jennifer Marie Heppner, LMT

Individual provider Active NPI Massage Therapist · Eagle Point, OR

NPI 1902344690 · NPPES record last updated Feb 2, 2017

Key facts

NPI
1902344690
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
21518 (OR)
Practice address
605 Barton Rd
Eagle Point, OR 97524-4406
Phone
(541) 890-1141
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
Yes

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
21518ORMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 21518 OR Yes

Addresses

Primary practice location

605 Barton Rd
Eagle Point, OR 97524-4406

Mailing address

605 Barton Rd
Eagle Point, OR 97524-4406
Phone (541) 890-1141

Other providers in Eagle Point, OR

All providers in Eagle Point, OR · Massage Therapist in Oregon

Sources for this page

Verify at the official NPI Registry.