Carly Briann Sampson, LMT

NPI #1972791556 in Hayden, Idaho

Provider Information

NPI Number: 1972791556
Entity Type: Individual
Name: Carly Briann Sampson, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Oct 9, 2007
Last Updated: Oct 12, 2022

Practice Location

Address: 1102 W HAYDEN AVE
Address 2: SUITE A
City: Hayden
State: Idaho
ZIP Code: 83835
Phone: (208) 620-7150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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