Individual
LAUREN ELAINE WEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT LMT
Contact information
Practice address
1080 W BOISE AVE, BOISE, ID 83706-3502
(208) 922-0346
Mailing address
1080 W BOISE AVE, BOISE, ID 83706-3502
(208) 922-0346
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MASG-943
ID
225700000X
Massage Therapist
Primary
MX110072
ID
Other
Enumeration date
06/13/2011
Last updated
12/30/2021
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