Individual
ANGELA HASTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCMT
Contact information
Practice address
6901 W EMERALD ST STE 206, BOISE, ID 83704-8660
(720) 879-7629
Mailing address
6901 W EMERALD ST STE 206, BOISE, ID 83704-8660
(720) 879-7629
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-1217
ID
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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