Amy Radford

NPI 1720477011 - Massage Therapist - 225700000X

NPI Details
NPI 1720477011
Gender Female
Enumeration Date 01/09/2015
Last Updated 01/09/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
2060 E 25TH ST
IDAHO FALLS ID, 83404-6490, US
Phone (208) 821-2105
Fax (208) 523-2864
Business Location
2060 E 25TH ST
IDAHO FALLS ID, 83404-6490, US
Phone (208) 821-2105
Fax (208) 523-2864
Toxanomy
Taxonomy Code 225700000X
License State Idaho
License Number MASG-877
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According to our database, Mrs. Amy Radford NPI is 1720477011, taxonomy code is 225700000X and license number is MASG-877, license state is located at Idaho. Amy Radford physically located at 2060 E 25th St, Idaho Falls ID, 83404-6490. NPI Number Amy Radford has the Individual type.

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1720477011 NPI number is provided on an as is basis without warranty of any kind. 1720477011 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Radford are for informational purposes only.