Individual
RAYVEN MACNAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
539 S FITNESS PL STE 150, EAGLE, ID 83616-7035
(208) 507-8119
Mailing address
539 S FITNESS PL STE 150, EAGLE, ID 83616-7035
(208) 507-8119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1771552
ID
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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