Johnny Ybanez II, LMP

NPI #1104219252 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1104219252
Entity Type: Individual
Name: Johnny Ybanez II, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Mar 13, 2015
Last Updated: Oct 25, 2023

Practice Location

Address: 320 E NEIDER AVE STE 105
City: Coeur D Alene
State: Idaho
ZIP Code: 83815-6007
Phone: (208) 930-4944

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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