Kevin Blair, LMT,PTA
NPI #1053145110 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1053145110
- Entity Type
- Individual
- Name
- Kevin Blair, LMT,PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT,PTA
- Enumeration Date
- Aug 29, 2024
- Last Updated
- Aug 29, 2024
Practice Location
- Address
- 3155 CHANNING WAY
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-7874
- Phone
- (208) 557-8962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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