Individual
KIRSTEN FRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 W IRONWOOD DR STE 102, COEUR D ALENE, ID 83814-1402
(503) 477-3966
Mailing address
615 E BORAH AVE, COEUR D ALENE, ID 83814-3626
(503) 364-0668
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6681810
ID
225700000X
Massage Therapist
Primary
20708
OR
Other
Enumeration date
03/19/2015
Last updated
06/17/2026
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