Organization
IDAHO MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANEESHA MISHEL KNIGHT LMT (MASSAGE THERAPIST)
(702) 321-1441
Entity
Organization
Contact information
Practice address
539 S FITNESS PL #150, EAGLE, ID 83616
(208) 507-8119
Mailing address
539 S FITNESS PL #150, EAGLE, ID 83616
(208) 507-8119
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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