Individual
LINSEY LADONNA KUCHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30410 HIGHWAY 200, PONDERAY, ID 83852-9601
(208) 263-3211
Mailing address
111 GUN CLUB RD TRLR 10, SAGLE, ID 83860-9785
(406) 880-1163
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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