Individual
MRS. JESSICA KAARI DRETKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2151 W HAYDEN AVE, HAYDEN, ID 83835-7414
(208) 215-4269
Mailing address
24800 N OLD HIGHWAY 95, ATHOL, ID 83801-8225
(120) 821-5426
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA60877114
WA
225700000X
Massage Therapist
Primary
MAS-3848
ID
Other
Enumeration date
08/17/2018
Last updated
11/12/2024
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