Individual
KELSEY LYNN REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1608 21ST ST, LEWISTON, ID 83501-3574
(208) 943-7194
Mailing address
717 10TH AVE, LEWISTON, ID 83501-2819
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9861672
ID
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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