Individual
AMBER KOOMPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, MMP, CIMI
Contact information
Practice address
845 W CENTER ST STE L201, POCATELLO, ID 83204-4205
(208) 244-0941
Mailing address
3131 NEELEY LOOP, AMERICAN FALLS, ID 83211-5532
(208) 339-3655
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-3531
ID
Other
Enumeration date
01/10/2025
Last updated
03/08/2025
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