Andrew Allen Herres JR., LMP

NPI #1134428600 in Lewiston, Idaho

Provider Information

NPI Number
1134428600
Entity Type
Individual
Name
Andrew Allen Herres JR., LMP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMP
Enumeration Date
Mar 22, 2011
Last Updated
Jun 17, 2013

Practice Location

Address
3316 1/2 4TH ST
Address 2
SUITE 4A
State
Idaho
ZIP Code
83501-4460
Phone
(509) 780-7822

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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