Individual
IAN WILLIAM GUTHRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9217 W STATE ST, BOISE, ID 83714-1737
(208) 853-7221
(208) 853-5518
Mailing address
9217 W STATE ST, BOISE, ID 83714-1737
(208) 853-7221
(208) 853-5518
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2214
ID
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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