Hailey Jellison, LMT

NPI #1023494010 in Eagle, Idaho

Provider Information

NPI Number: 1023494010
Entity Type: Individual
Name: Hailey Jellison, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Aug 3, 2015
Last Updated: Aug 3, 2015

Practice Location

Address: 150 E RIVERSIDE DR
Address 2: SUITE 100
City: Eagle
State: Idaho
ZIP Code: 83616
Phone: (208) 938-3511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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