Individual
JESSICA D ANDREASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2857 S MERIDIAN RD STE 100, MERIDIAN, ID 83642-7960
(208) 888-5858
Mailing address
2857 S MERIDIAN RD STE 100, MERIDIAN, ID 83642-7960
(208) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG1033
ID
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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