Individual
LACHRYLE ASHLEY NISBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6109 W OVERLAND RD STE 102, BOISE, ID 83709-3018
(208) 614-4447
Mailing address
6109 W OVERLAND RD STE 102, BOISE, ID 83709-3018
(208) 614-4447
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
49497
ID
225700000X
Massage Therapist
Primary
MAS-5104
ID
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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