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Individual

MARISA BERNADETTE MCFADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1624 E SELTICE WAY, POST FALLS, ID 83854-7022
(208) 777-0128
Mailing address
13460 W WINCH AVE, RATHDRUM, ID 83858-7619
(208) 964-4913

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4182
ID

Other

Enumeration date
10/20/2020
Last updated
09/29/2023
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