Individual
MRS. KATHRYN G SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5909 W STATE ST, BOISE, ID 83703-3039
(208) 343-7700
(208) 331-2591
Mailing address
5909 W STATE ST, BOISE, ID 83703-3039
(208) 343-7700
(208) 331-2591
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-1268
ID
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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