Individual
ANDREA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
514 N OLD HIGHWAY 91, INKOM, ID 83245-1724
(801) 671-6074
Mailing address
514 N OLD HIGHWAY 91, INKOM, ID 83245-1724
(801) 671-6074
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6271446
ID
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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