Idaho Massage LLC

NPI #1700563087 in Eagle, Idaho

Provider Information

NPI Number: 1700563087
Entity Type: Organization
Organization Name: Idaho Massage LLC
Primary Specialty: Massage Therapist
Enumeration Date: Jun 29, 2023
Last Updated: Jun 29, 2023

Practice Location

Address: 539 S FITNESS PL #500
City: Eagle
State: Idaho
ZIP Code: 83616
Phone: (208) 507-8119

Authorized Official

Name: MS. TUNDE LEE SZEKERES
Title: LMT
Phone: (208) 830-0106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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