MS. Staci Leanne Truby

NPI #1912290388 in Lewiston, Idaho

Provider Information

NPI Number: 1912290388
Entity Type: Individual
Name: MS. Staci Leanne Truby
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: May 18, 2011
Last Updated: May 18, 2011

Practice Location

Address: 717 'D' STREET
City: Lewiston
State: Idaho
ZIP Code: 83501
Phone: (208) 743-1424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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