Individual
KARI-LYN RUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9652 W STATE ST, STAR, ID 83669-5858
(208) 286-0766
Mailing address
9652 W STATE ST, STAR, ID 83669-5858
(208) 286-0766
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-955
ID
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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