Individual
MRS. KIMBERLY KATHALEEN TRULLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMT
Contact information
Practice address
1786 W. STATE STREET, BOISE, ID 83702
(208) 331-1786
Mailing address
1786 W. STATE STREET, BOISE, ID 83702
(208) 869-1388
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
49748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1049017
ASHP
CA
Enumeration date
09/20/2008
Last updated
04/12/2023
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