Individual
MR. PETER LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT.
Contact information
Practice address
2030 JENNIE LEE DR, IDAHO FALLS, ID 83404-7000
(208) 529-8600
(208) 529-0036
Mailing address
2030 JENNIE LEE DR, IDAHO FALLS, ID 83404-7000
(208) 529-8600
(208) 529-0036
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-792
ID
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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