Individual
MICHELE MURPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
804 S WASHINGTON ST, MOSCOW, ID 83843-3182
(208) 301-2536
Mailing address
1701 WALLEN RD, TROY, ID 83871-9634
(208) 301-2536
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-457
ID
Other
Enumeration date
02/12/2019
Last updated
02/12/2019
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