Organization
RELAX A BACK BODYWORKS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA GAREY (OWNER)
(208) 859-9953
Entity
Organization
Contact information
Practice address
448 S MAPLEGROVE, BOISE, ID 83709
(208) 859-9953
Mailing address
PO BOX 44128, BOISE, ID 83711-0128
(208) 859-9953
(208) 323-9070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
04/20/2008
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