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Individual

JESSIE JYLENE MONAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
539 S FITNESS PL STE 150, EAGLE, ID 83616-7035
(208) 507-8119
Mailing address
539 S FITNESS PL STE 150, EAGLE, ID 83616-7035
(208) 507-8119

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-1952
ID

Other

Enumeration date
03/02/2026
Last updated
03/02/2026
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