Individual
KATHRYN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
9217 W. STATE ST., BOISE, ID 83714-1737
(208) 249-2607
(208) 853-5518
Mailing address
2207 FERN ST, NAMPA, ID 83686-7250
(208) 249-2607
(208) 853-5518
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MASG-564
STATE OF IDAHO
ID
Enumeration date
02/25/2009
Last updated
02/25/2014
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