Individual
SUSAN MARIE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 W HAYDEN AVE STE A, HAYDEN, ID 83835-8700
(208) 620-7150
(208) 791-9109
Mailing address
12920 N RAILWAY AVE APT 306, RATHDRUM, ID 83858-1359
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7661770
ID
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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