Individual
CHARLOTTE BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13999 W WAINWRIGHT DR STE 201, BOISE, ID 83713-1967
(208) 939-0775
(208) 301-5004
Mailing address
13999 W WAINWRIGHT DR STE 201, BOISE, ID 83713-1967
(208) 939-0775
(208) 301-5004
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7271473
ID
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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