Organization
NW NATURAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LORETTA JANE TYE LMT (OWNER)
(208) 743-1974
Entity
Organization
Contact information
Practice address
1114 MAIN ST, LEWISTON, ID 83501-1902
(208) 743-1974
Mailing address
1114 MAIN ST, LEWISTON, ID 83501-1902
(208) 743-1974
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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