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Individual provider · Massage Therapist · Eagle, ID

NPI
1508647645
Type
Individual (Type 1)
Primary specialty
Massage Therapist
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225700000X
License number
MASG-1509 (ID)
Sex
Female
Sole proprietor
Yes
Enumerated
2023-10-12
Last updated
2023-10-12
Practice location
539 S Fitness Pl Ste 150
Eagle, ID 83616-7035
(208) 507-8119

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