Individual
MS. RAELENE ANN BISHOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
671 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5596
(208) 552-2584
(208) 529-3992
Mailing address
671 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5596
(208) 552-2584
(208) 529-3992
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-1672
ID
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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