Amanda Goulart
NPI #1073987079 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1073987079
- Entity Type
- Individual
- Name
- Amanda Goulart
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Nov 14, 2015
- Last Updated
- Nov 14, 2015
Practice Location
- Address
- 1042 W MILL AVE STE 104
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2489
- Phone
- (208) 659-6526
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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