Karmen Porter

NPI #1114306271 in Meridian, Idaho

Provider Information

NPI Number: 1114306271
Entity Type: Individual
Name: Karmen Porter
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: May 22, 2015
Last Updated: May 22, 2015

Practice Location

Address: 1529 W CRESCENT CT
City: Meridian
State: Idaho
ZIP Code: 83646-1149
Phone: (208) 869-7579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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