Individual
KRISTY RENAE HAMMETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
688 N 9TH ST, BOISE, ID 83702-5458
(208) 449-2530
Mailing address
3234 N WAGON WHEEL ROAD, BOISE, ID 83702
(208) 449-2530
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-39
ID
Other
Enumeration date
01/10/2011
Last updated
11/09/2022
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