Roberta Ann Groth, LMT | |
430 W Iowa Ave Ste A, Nampa, ID 83686-2826 | |
(208) 870-6658 | |
Not Available |
Full Name | Roberta Ann Groth |
---|---|
Gender | Female |
Speciality | Massage Therapist |
Location | 430 W Iowa Ave Ste A, Nampa, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699250084 | NPI | - | NPPES |
MASG-1782 | Other | ID | IDAHO BUREAU OF OCCUPATIONAL LICENSES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225700000X | Massage Therapist | MASG-1782 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Roberta Ann Groth, LMT 430 W Iowa Ave Ste A, Nampa, ID 83686-2826 Ph: (208) 870-6658 | Roberta Ann Groth, LMT 430 W Iowa Ave Ste A, Nampa, ID 83686-2826 Ph: (208) 870-6658 |
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