Individual
KIMBERLY COVELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8827 N GOVERNMENT WAY UNIT 106, HAYDEN, ID 83835-8231
(208) 682-0191
Mailing address
PO BOX 1991, HAYDEN, ID 83835-1991
(208) 682-0191
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2170
ID
Other
Enumeration date
11/03/2017
Last updated
03/28/2021
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