Individual
DEANNA EMILIA GIOKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
550 MEMORIAL DR, POCATELLO, ID 83201-4063
(208) 282-3408
Mailing address
727 E LEWIS ST APT B, POCATELLO, ID 83201-4924
(208) 242-8911
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2864
ID
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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