Individual
STACEY WHITCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC.
Contact information
Practice address
750 E WARM SPRINGS AVE STE G, BOISE, ID 83712-6457
(208) 336-1133
Mailing address
3735 E HAYSTACK ST APT 203, BOISE, ID 83716-6008
(208) 336-1133
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
Primary
9271247
ID
Other
Enumeration date
03/18/2018
Last updated
09/09/2025
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