Individual
MARION ELIZABETH TEAL-ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
127 S WASHINGTON ST STE 6, MOSCOW, ID 83843-2866
(208) 892-6506
(509) 334-6768
Mailing address
127 S WASHINGTON ST STE 6, MOSCOW, ID 83843-2866
(208) 892-6506
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-1537
ID
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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