Idaho Sport Massage LLC
NPI #1932946332 in Pocatello, Idaho
Provider Information
- NPI Number
- 1932946332
- Entity Type
- Organization
- Organization Name
- Idaho Sport Massage LLC
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Jul 11, 2024
- Last Updated
- Oct 24, 2024
Practice Location
Authorized Official
- Name
- MINDY CERVANTES
- Title
- OWNER
- Phone
- (435) 580-9461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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