Rose Morningstar LICENSED MASSAGE THE

NPI 1619035623 - Massage Therapist - 225700000X

NPI Details
NPI 1619035623
Gender Female
Enumeration Date 12/04/2006
Last Updated 11/09/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
2151 W. HAYDEN AVE
HAYDEN ID, 83835, US
Phone (208) 762-6772
Fax (208) 762-6773
Business Location
2151 W. HAYDEN AVE
HAYDEN ID, 83835, US
Phone (208) 762-6772
Fax (208) 762-6773
Toxanomy
Taxonomy Code 225700000X
License State Washington
License Number MA000011941
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According to our database, Rose Morningstar LICENSED MASSAGE THE NPI is 1619035623, taxonomy code is 225700000X and license number is MA000011941, license state is located at Washington. Rose Morningstar LICENSED MASSAGE THE physically located at 2151 W. Hayden Ave, Hayden ID, 83835. NPI Number Rose Morningstar LICENSED MASSAGE THE has the Individual type.

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1619035623 NPI number is provided on an as is basis without warranty of any kind. 1619035623 is maintained by the National Plan & Provider Enumeration System. The contents of Rose Morningstar LICENSED MASSAGE THE are for informational purposes only.