Individual
ELIZABETH HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 ROOSEVELT AVE, POCATELLO, ID 83201-5025
(208) 234-2228
Mailing address
301 ROOSEVELT AVE, POCATELLO, ID 83201-5025
(208) 234-2228
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NONE
ID
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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