Carolyn P Brainard, LMP

NPI #1609967090 in Hayden, Idaho

Provider Information

NPI Number: 1609967090
Entity Type: Individual
Name: Carolyn P Brainard, LMP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMP
Enumeration Date: Sep 28, 2006
Last Updated: Mar 6, 2009

Practice Location

Address: 1172 W HAYDEN AVE
City: Hayden
State: Idaho
ZIP Code: 83835-8700
Phone: (208) 762-3332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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