Organization
BOISE THERAPEUTIC MASSAGE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA NELSON (OWNER)
(208) 375-6272
Entity
Organization
Contact information
Practice address
1114 N COLE RD, BOISE, ID 83704-8644
(208) 375-6272
(208) 375-6445
Mailing address
1114 N COLE RD, BOISE, ID 83704-8644
(208) 375-6272
(208) 375-6445
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/23/2008
Last updated
02/23/2008
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