Kelli Marie E Booth, LMT

NPI #1154031540 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1154031540
Entity Type: Individual
Name: Kelli Marie E Booth, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Nov 28, 2022
Last Updated: Nov 28, 2022

Practice Location

Address: 2362 N OLD MILL LOOP
City: Coeur D Alene
State: Idaho
ZIP Code: 83814-4954
Phone: (208) 292-7870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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