Dolores Roth

NPI #1811461791 in Post Falls, Idaho

Provider Information

NPI Number: 1811461791
Entity Type: Individual
Name: Dolores Roth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jan 14, 2019
Last Updated: Jan 14, 2019

Practice Location

Address: 1624 E SELTICE WAY
City: Post Falls
State: Idaho
ZIP Code: 83854-7022
Phone: (208) 777-0128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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