Provider Demographics
NPI:1407333677
Name:HEDLUND, KAREN ANN (BS, LMT, BCTMB)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:HEDLUND
Suffix:
Gender:F
Credentials:BS, LMT, BCTMB
Other - Prefix:
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Mailing Address - Street 1:3613 SPRUCEDALE DR
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-1948
Mailing Address - Country:US
Mailing Address - Phone:703-941-1924
Mailing Address - Fax:703-255-6171
Practice Address - Street 1:115 BEULAH RD NE STE 200B
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4780
Practice Address - Country:US
Practice Address - Phone:703-255-7012
Practice Address - Fax:703-255-6171
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2018-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0019004751225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist