Loretta J Tye, NCTMB

NPI #1518109594 in Lewiston, Idaho

Provider Information

NPI Number
1518109594
Entity Type
Individual
Name
Loretta J Tye, NCTMB
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
NCTMB
Enumeration Date
Apr 6, 2009
Last Updated
Apr 6, 2009

Practice Location

Address
1114 MAIN ST
State
Idaho
ZIP Code
83501-1902
Phone
(208) 743-1974

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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