Individual
MICHELE RENEE KONECHNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
24599 N CORBIN HILL RD, ATHOL, ID 83801-8304
(208) 625-0787
Mailing address
24599 N CORBIN HILL RD, ATHOL, ID 83801-8304
(208) 964-5035
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00025198
WA
Other
Enumeration date
05/22/2009
Last updated
05/22/2009
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