| Aiyanna Wellness Day Spa | |
|
30410 Highway 200 Ste 100, Ponderay, ID 83852-9601 | |
| (208) 263-3211 | |
| Not Available |
| Full Name | Aiyanna Wellness Day Spa |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 30410 Highway 200 Ste 100, Ponderay, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699309963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Aiyanna Wellness Day Spa 30410 Highway 200 Ste 100, Ponderay, ID 83852-9601 Ph: (208) 627-9687 | Aiyanna Wellness Day Spa 30410 Highway 200 Ste 100, Ponderay, ID 83852-9601 Ph: (208) 263-3211 |
Adelaida Mahler, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 30544 Highway 200 Ste 326, Ponderay, ID 83852 Phone: 208-205-9559 | |
Mrs. Jeannette Elise Wilcox, CMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 30410 Highway 200 Unit 100, Ponderay, ID 83852 Phone: 208-263-3211 | |
Mrs. Elizabeth A Cope, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 30410 Highway 200 Ste 100, Ponderay, ID 83852 Phone: 208-263-3211 | |
Andrew Nelson, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 30544 Highway 200 Ste 326, Ponderay, ID 83852 Phone: 208-205-9559 | |
Linsey Ladonna Kucherry, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 30410 Highway 200, Ponderay, ID 83852 Phone: 208-263-3211 | |
Kelcee Tomco, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 30544 Highway 200 Ste 326, Ponderay, ID 83852 Phone: 208-205-9559 | |
Rebecca Goebel, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 30410 Highway 200 Ste 100, Ponderay, ID 83852 Phone: 208-946-0928 |