Individual
CASEY JAKE DIGRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8109 N WAYNE BLVD, HAYDEN, ID 83835-5031
(208) 667-7463
(208) 664-5225
Mailing address
9751 N GOVERNMENT WAY STE 4, HAYDEN, ID 83835-9645
(208) 651-8536
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1499
ID
Other
Enumeration date
12/18/2017
Last updated
03/17/2018
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