Dawn Charbonneau, L.M.T.

NPI #1265853550 in Hayden, Idaho

Provider Information

NPI Number: 1265853550
Entity Type: Individual
Name: Dawn Charbonneau, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Jan 3, 2014
Last Updated: Jan 3, 2014

Practice Location

Address: 13403 N GOVERNMENT WAY
Address 2: SUITE115
City: Hayden
State: Idaho
ZIP Code: 83835-9460
Phone: (208) 659-5475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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