Amber Gifford, LMT, LST

NPI #1366863847 in Hayden, Idaho

Provider Information

NPI Number: 1366863847
Entity Type: Individual
Name: Amber Gifford, LMT, LST
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, LST
Enumeration Date: Dec 30, 2013
Last Updated: Jun 18, 2014

Practice Location

Address: 1375 E MILES AVE
City: Hayden
State: Idaho
ZIP Code: 83835-9251
Phone: (208) 653-5629

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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