Individual
KAYLEE LANE HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8781 W ARDENE ST, BOISE, ID 83709-2699
(208) 229-8433
Mailing address
8781 W ARDENE ST, BOISE, ID 83709-2699
(208) 229-8433
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5271749
ID
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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