Individual
AMANDA FAYE APPLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9652 W STATE ST, STAR, ID 83669-5858
(208) 286-0766
Mailing address
2522 N MIDDLETON RD, NAMPA, ID 83651-1533
(360) 690-6469
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-3419
ID
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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