Individual
HALEIGH M ARRILLAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13900 W WAINWRIGHT DR, BOISE, ID 83713-5028
(208) 519-2685
Mailing address
1050 N 16TH E, MOUNTAIN HOME, ID 83647-2378
(208) 519-2685
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-553
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39389698
REGENCE
ID
Enumeration date
02/20/2023
Last updated
02/20/2023
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