Individual
MS. ASHLEY LANE MALONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
671 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5596
(208) 552-2584
Mailing address
671 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5596
(208) 552-2584
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5191
ID
Other
Enumeration date
05/28/2010
Last updated
01/26/2011
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