Individual
STEPHANIE WHEELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT
Contact information
Practice address
2770 E FRANKLIN RD, MERIDIAN, ID 83642-5953
(208) 695-3850
Mailing address
303 W STEPH ST, KUNA, ID 83634-5145
(208) 695-3850
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-1694
ID
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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