Individual
KARA MERKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 E 25TH ST, STE C, IDAHO FALLS, ID 83404-7577
(208) 656-5858
(208) 549-7575
Mailing address
1354 E 16TH ST, APT 3, IDAHO FALLS, ID 83404-4940
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2644
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MAS-2644
STATE OF IDAHO BOL
ID
Enumeration date
05/24/2016
Last updated
05/24/2016
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