Individual
EMILY BOUDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMT, LMT
Contact information
Practice address
1111 S ORCHARD ST, SUITE 224, BOISE, ID 83705-1966
(208) 820-1942
Mailing address
1111 S ORCHARD ST, SUITE 224, BOISE, ID 83705-1966
(208) 820-1942
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-61
ID
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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