Organization
MOMENTUM MEDICAL MASSAGE AND PERSONAL TRAINING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JO EMERSON (OWNER/PRACTITIONER)
(360) 909-3331
Entity
Organization
Contact information
Practice address
1013 W LAKE ST, SANDPOINT, ID 83864
(360) 909-3331
Mailing address
1013 W LAKE ST, SANDPOINT, ID 83864
(360) 909-3331
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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