Individual
SARAH ANDERSON DIGRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9751 N GOVERNMENT WAY STE 4, HAYDEN, ID 83835-9645
(208) 696-1300
(208) 684-7834
Mailing address
1453 W BERING DR, COEUR D ALENE, ID 83815-8399
(801) 386-6264
(208) 684-7834
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-1292
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033754791
OFFICE
ID
Enumeration date
02/22/2020
Last updated
02/22/2020
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