Michele Renee Konechny, LMP

NPI #1124253968 in Athol, Idaho

Provider Information

NPI Number: 1124253968
Entity Type: Individual
Name: Michele Renee Konechny, LMP
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: May 22, 2009
Last Updated: May 22, 2009

Practice Location

Address: 24599 N CORBIN HILL RD
City: Athol
State: Idaho
ZIP Code: 83801-8304
Phone: (208) 625-0787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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Organizations

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