Individual
JOHNNIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 N SHETLAND CT, POST FALLS, ID 83854-5447
(208) 457-1551
(208) 457-1756
Mailing address
605 N SHETLAND CT, POST FALLS, ID 83854-5447
(208) 457-1551
(208) 457-1756
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-1648
ID
Other
Enumeration date
09/30/2011
Last updated
01/22/2021
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