Individual
AUBREY GASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1224 N IDAHO ST STE 5, POST FALLS, ID 83854-8615
(208) 714-1228
Mailing address
1224 N IDAHO ST STE 5, POST FALLS, ID 83854-8615
(208) 714-1228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-3022
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
455329257
MASSAGE THERAPY
ID
Enumeration date
11/07/2019
Last updated
08/17/2023
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