Raeann Thornley

NPI #1003394214 in Boise, Idaho

Provider Information

NPI Number: 1003394214
Entity Type: Individual
Name: Raeann Thornley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Jul 31, 2018
Last Updated: Jul 31, 2018

Practice Location

Address: 1625 W STATE ST
City: Boise
State: Idaho
ZIP Code: 83702-4002
Phone: (208) 336-0017

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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