Individual
THERESA M FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MP
Contact information
Practice address
1101 E POLSTON AVE, SUITE A, POST FALLS, ID 83854-6045
(208) 773-8111
(208) 773-8385
Mailing address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 664-8194
(208) 667-1847
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0210660
WASH ST LABOR & INDUSTRY
WA
Enumeration date
09/28/2006
Last updated
08/11/2009
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