Individual
REBECCA GOEBEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
30410 HIGHWAY 200 STE 100, PONDERAY, ID 83852-9601
(208) 946-0928
Mailing address
PO BOX 1814, SANDPOINT, ID 83864-0903
(208) 946-0928
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4934
ID
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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