Individual
DAVID PIERRE LEDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
630 SUN VALLEY ROAD SUITE 5, KETCHUM, ID 83340
(208) 481-7153
Mailing address
706 S MAIN ST STE 109, HAILEY, ID 83333-8312
(208) 481-7153
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2637
ID
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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