Individual
ROBIN JENNIFER STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
116 E 3RD ST STE 201, MOSCOW, ID 83843-4318
(208) 610-3591
Mailing address
PO BOX 9691, MOSCOW, ID 83843-0179
(509) 339-5960
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA60242451
WA
225700000X
Massage Therapist
Primary
MAS-4823
ID
Other
Enumeration date
07/30/2012
Last updated
03/13/2023
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