Individual
ELSBETH BECKVOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 E SELTICE WAY, POST FALLS, ID 83854-7022
(208) 777-0128
(208) 773-9600
Mailing address
1624 E SELTICE WAY, POST FALLS, ID 83854-7022
(208) 777-0128
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS3142
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
MASSAGE THERAPIST
—
Enumeration date
08/27/2018
Last updated
08/27/2018
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