Individual
ALYSSA FOSTER HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 E 3RD ST # 209, MOSCOW, ID 83843-4318
(208) 600-8085
Mailing address
233 N ASBURY ST, MOSCOW, ID 83843-2130
(208) 600-8085
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-362
ID
Other
Enumeration date
01/06/2020
Last updated
01/15/2020
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