Individual
JANET BERNHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1200 W IRONWOOD DR, SUITE 302, COEUR D ALENE, ID 83814-2660
(208) 755-7580
Mailing address
269 SUNSHINE ST, KELLOGG, ID 83837-9719
(208) 755-7580
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-259
ID
Other
Enumeration date
11/18/2014
Last updated
11/18/2014
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