Individual
CHRISTINA L. KOEHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
617 W NORTH ST, GRANGEVILLE, ID 83530-1239
(208) 983-6317
Mailing address
PO BOX 545, GRANGEVILLE, ID 83530-0545
(208) 983-6317
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA000012841
WA
Other
Enumeration date
10/28/2007
Last updated
04/25/2009
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