Provider Demographics
NPI:1437385390
Name:BETTINGER, HEIDI NICOLE (MASSAGE THERAPIST)
Entity type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:NICOLE
Last Name:BETTINGER
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:MRS
Other - First Name:HEIDI
Other - Middle Name:NICOLE
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:103 EAST 3RD ST
Mailing Address - Street 2:STE 107
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223
Mailing Address - Country:US
Mailing Address - Phone:425-501-6964
Mailing Address - Fax:425-968-7055
Practice Address - Street 1:103 EAST 3RD ST
Practice Address - Street 2:STE 107
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223
Practice Address - Country:US
Practice Address - Phone:425-501-6964
Practice Address - Fax:425-968-7055
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-05
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00013930225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist