Individual
TAAWNA NEE LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
111 BEVER GRADE ROAD, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 843-7247
Mailing address
PO DRAWER 367, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 843-7247
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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