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Individual

PATRICIA HETRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2300 S ORCHARD ST, STE. A, BOISE, ID 83705-6722
(208) 383-1070
(208) 383-3702
Mailing address
2300 S ORCHARD ST, STE. A, BOISE, ID 83705-6722
(208) 383-1070
(208) 383-3702

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-727
ID

Other

Enumeration date
01/27/2015
Last updated
01/28/2015
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