Individual
SCOTT DALE GILTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8109 N WAYNE BLVD, HAYDEN, ID 83835-5031
(208) 664-5225
Mailing address
8109 N WAYNE BLVD, HAYDEN, ID 83835-5031
(208) 664-5225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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