Country Clinical Massage

NPI #1578956637 in Athol, Idaho

Provider Information

NPI Number
1578956637
Entity Type
Organization
Organization Name
Country Clinical Massage
Primary Specialty
Massage Therapist
Enumeration Date
Mar 13, 2015
Last Updated
Mar 13, 2015

Practice Location

Address
6101 E HIGHWAY 54 STE A
City
Athol
State
Idaho
ZIP Code
83801-6085
Phone
(208) 755-6301

Authorized Official

Name
MRS. EMILY MARIE SMEDLEY, LMP
Title
LICENSED MASSAGE PRACTITIONER
Phone
(208) 755-6301

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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