Individual
STEPHANIE KNITTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1114 MAIN ST, LEWISTON, ID 83501-1902
(208) 329-2043
Mailing address
1114 MAIN ST, LEWISTON, ID 83501
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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