Individual
CHEARY D HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1201 FALLS AVE E, STE 32, TWIN FALLS, ID 83301-3405
(208) 316-1719
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT 308
ID
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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