Country Clinical Massage | |
6101 E Highway 54 Ste A, Athol, ID 83801-6085 | |
(208) 755-6301 | |
Not Available |
Full Name | Country Clinical Massage |
---|---|
Type | Facility |
Speciality | Massage Therapist |
Location | 6101 E Highway 54 Ste A, Athol, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578956637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MAS-47 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Country Clinical Massage Po Box 1015, 6101 E Hwy 54 Suite A, Athol, ID 83801-1015 Ph: (208) 755-6301 | Country Clinical Massage 6101 E Highway 54 Ste A, Athol, ID 83801-6085 Ph: (208) 755-6301 |
Michele Renee Konechny, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 24599 N Corbin Hill Rd, Athol, ID 83801 Phone: 208-625-0787 | |
Davina Gelardi, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6101 E Highway 54, Athol, ID 83801 Phone: 208-920-0825 |