Omega Robertson, LMT

NPI #1346642113 in Post Falls, Idaho

Provider Information

NPI Number: 1346642113
Entity Type: Individual
Name: Omega Robertson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Sep 23, 2014
Last Updated: Sep 23, 2014

Practice Location

Address: 1109 E POLSTON AVE
City: Post Falls
State: Idaho
ZIP Code: 83854-6045
Phone: (208) 777-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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