Individual
GRACE LYNN HARTWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MAIN ST FL 2, LEWISTON, ID 83501-1818
(208) 209-3993
Mailing address
200 MAIN ST FL 2, LEWISTON, ID 83501-1818
(208) 209-3993
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2071587
ID
Other
Enumeration date
10/02/2025
Last updated
10/02/2025
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