Individual
KEEVA BETH ROSSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9751 N GOVERNMENT WAY STE 4, HAYDEN, ID 83835-9645
(208) 696-1330
(208) 684-7834
Mailing address
9751 N GOVERNMENT WAY STE 4, HAYDEN, ID 83835-9645
(208) 696-1330
(208) 684-7834
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4126
ID
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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