Charles Golightly

NPI #1922491513 in Kuna, Idaho

Provider Information

NPI Number: 1922491513
Entity Type: Organization
Organization Name: Charles Golightly
Primary Specialty: Massage Therapist
Enumeration Date: Mar 6, 2015
Last Updated: Mar 6, 2015

Practice Location

Address: 1797 N AZURITE DR
City: Kuna
State: Idaho
ZIP Code: 83634-5370
Phone: (208) 936-9455

Authorized Official

Name: MR. CHARLES ANTHONY GOLIGHTLY
Title: MASSAGE THERAPIST
Phone: (208) 936-9455

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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