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32 Carlson Ave, Rexburg, ID 83440-1914 | |
| (208) 557-3516 | |
| (208) 549-7575 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 32 Carlson Ave, Rexburg, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245622190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MAS-1466 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
342 W 1st S, Apt 701, Rexburg, ID 83440-5132 Ph: (208) 557-3516 | 32 Carlson Ave, Rexburg, ID 83440-1914 Ph: (208) 557-3516 |
Tanya Espinoza, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Carlson Ave, Rexburg, ID 83440 Phone: 208-557-3516 | |
Melissa Byington, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Carlson Ave, Rexburg, ID 83440 Phone: 208-557-3516 | |
Mrs. Rachel Jan Weeks, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Carlson Ave, Rexburg, ID 83440 Phone: 208-557-3516 | |
Brittney Ball, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Carlson Ave, Rexburg, ID 83440 Phone: 208-557-3516 | |
Kylee Duce, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Carlson Ave, Rexburg, ID 83440 Phone: 208-557-3516 | |
Danielle Bowen, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 32 Carlson Ave, Rexburg, ID 83440 Phone: 208-557-3516 |