Individual
MR. KENNETH OWEN SCHARBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3316 1/2 4TH ST, SUITE 4A, LEWISTON, ID 83501-4460
(208) 798-5420
(208) 798-5430
Mailing address
3316 1/2 4TH ST, SUITE 4A, LEWISTON, ID 83501-4460
(208) 798-5420
(208) 798-5430
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 00019448
WA
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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