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MRS. HEIDI LYNN ELLWOOD MPT
NPI 1386766335
Specialist in Dixon, MO

Active since April 03, 2007
20270 HARLEQUIN LN, DIXON, MO 65459(573) 336-4965 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Heidi Lynn Ellwood Mpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. HEIDI LYNN ELLWOOD MPT (NPI 1386766335) is an individual specialist in Dixon, Missouri, licensed in Missouri (2005019387) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1386766335
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameMRS. HEIDI LYNN ELLWOODCredential: MPT
Location Address20270 HARLEQUIN LNDixon, MO 65459-7524
Mailing Address20270 Harlequin LnDixon, MO 65459-7524 · (573) 336-4965
Phone(573) 336-4965
Sole ProprietorYes
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1386766335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MO · 2005019387
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

20270 HARLEQUIN LN, Dixon, MO 65459
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Reviews for MRS. HEIDI LYNN ELLWOOD MPT

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Frequently Asked Questions

What is Heidi Ellwood's NPI number?

The NPI number assigned to this healthcare provider is 1386766335, enumerated as an "individual" on April 03, 2007.

Where is the provider located?

The provider is located at 20270 HARLEQUIN LN DIXON, MO 65459 and the phone number is (573) 336-4965.

What is the provider's specialty?

Specialist with taxonomy code 174400000X.