Individual
LILA M WITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
872 TROY RD STE 170, MOSCOW, ID 83843-4046
(208) 892-6506
(509) 334-6768
Mailing address
1256 SE BISHOP BLVD STE J, PULLMAN, WA 99163-5414
(509) 332-6506
(509) 334-6768
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS3163
ID
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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