Provider Demographics
NPI:1730907346
Name:HEISHMAN, HAILEY (ND)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:
Last Name:HEISHMAN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15330 162ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-8932
Mailing Address - Country:US
Mailing Address - Phone:502-208-6871
Mailing Address - Fax:
Practice Address - Street 1:15330 162ND AVE NE
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-8932
Practice Address - Country:US
Practice Address - Phone:502-208-6871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath