Individual
MS. SHAWN CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
910 N CURTIS RD, BOISE, ID 83706-1308
(208) 377-3777
(208) 377-3779
Mailing address
5278 W ELLENS FERRY DR, BOISE, ID 83703-3152
(208) 861-4532
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-489
ID
Other
Enumeration date
04/29/2015
Last updated
09/22/2022
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