Diana Reyes

NPI #1578284592 in Eagle, Idaho

Provider Information

NPI Number: 1578284592
Entity Type: Individual
Name: Diana Reyes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Sep 7, 2022
Last Updated: Sep 7, 2022

Practice Location

Address: 82 E STATE ST STE D
City: Eagle
State: Idaho
ZIP Code: 83616-6048
Phone: (208) 739-7650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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