Untapped Health LLC
NPI #1104550102 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1104550102
- Entity Type
- Organization
- Organization Name
- Untapped Health LLC
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Jul 14, 2022
- Last Updated
- Jul 14, 2022
Practice Location
- Address
- 1800 E 17TH ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6468
- Phone
- (208) 252-5770
Authorized Official
- Name
- JUSTIN T ODELL
- Title
- OWNER THERAPIST
- Phone
- (208) 351-2114
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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