Individual
KATHY WEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2985 S MERIDIAN RD STE 140, MERIDIAN, ID 83642-8051
(208) 571-3744
Mailing address
2985 S MERIDIAN RD STE 140, MERIDIAN, ID 83642-8051
(208) 571-3744
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-923
ID
Other
Enumeration date
11/18/2014
Last updated
09/08/2025
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