Organization
EQUILIBRIUM MASSAGE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY CONNELLA LMT (OWNER)
(208) 920-1630
Entity
Organization
Contact information
Practice address
2224 W HONEYSUCKLE AVE, HAYDEN, ID 83835-8057
(208) 920-1630
Mailing address
PO BOX 2226, HAYDEN LAKE, ID 83835-2226
(208) 215-4594
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
01/28/2025
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