Individual
JENNIFER STROUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
303 S FEDERAL WAY, BOISE, ID 83705-5925
(208) 860-7110
Mailing address
809 S HARDING ST, BOISE, ID 83705-5809
(208) 860-7110
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2649
ID
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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