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Individual

MICHELE ATKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2960 S. EAGLE RD, SUITE 100, MERIDIAN, ID 83642
(208) 898-1468
(208) 898-1505
Mailing address
5909 W. STATE ST., BOISE, ID 83703
(208) 343-7700
(208) 331-2591

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG473
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MASG-473
LICENSE
ID
Enumeration date
02/02/2015
Last updated
02/02/2015
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