Provider Demographics
NPI:1114653722
Name:HEIDI J. ROBEL, ND, LAC, PC
Entity Type:Organization
Organization Name:HEIDI J. ROBEL, ND, LAC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBEL
Authorized Official - Suffix:
Authorized Official - Credentials:ND, LAC
Authorized Official - Phone:509-469-2483
Mailing Address - Street 1:307 S 12TH AVE STE 9
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3138
Mailing Address - Country:US
Mailing Address - Phone:509-469-2483
Mailing Address - Fax:
Practice Address - Street 1:307 S 12TH AVE STE 9
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98902-3138
Practice Address - Country:US
Practice Address - Phone:509-469-2483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty