Kristy Nicole Lageson

NPI #1538947387 in Eagle, Idaho

Provider Information

NPI Number: 1538947387
Entity Type: Individual
Name: Kristy Nicole Lageson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Sep 21, 2023
Last Updated: Sep 21, 2023

Practice Location

Address: 1159 E IRON EAGLE DR
City: Eagle
State: Idaho
ZIP Code: 83616-6871
Phone: (425) 471-1603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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