| |
168 Rosemary Loop Ste 1, Priest Lake, ID 83856-5023 | |
(208) 946-1226 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Massage Therapist |
Location | 168 Rosemary Loop Ste 1, Priest Lake, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700308673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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2442 Nw Market St, Seattle, WA 98107-4137 Ph: (208) 946-1226 | 168 Rosemary Loop Ste 1, Priest Lake, ID 83856-5023 Ph: (208) 946-1226 |