Individual
MS. TARA KOFFLER HOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
810 S MAIN ST, MOSCOW, ID 83843-3043
(208) 883-6544
Mailing address
810 S MAIN ST, MOSCOW, ID 83843-3043
(208) 883-6544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00018237
WA
Other
Enumeration date
08/11/2008
Last updated
08/11/2008
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