Deborah Diane Wade, LMT

NPI #1124725825 in Mccall, Idaho

Provider Information

NPI Number: 1124725825
Entity Type: Individual
Name: Deborah Diane Wade, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Feb 13, 2023
Last Updated: Feb 13, 2023

Practice Location

Address: 331 DEINHARD LN
City: Mccall
State: Idaho
ZIP Code: 83638-4703
Phone: (208) 315-0863

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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