Individual
DARLA BURNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5251 E EXCHANGE WAY, NAMPA, ID 83687-5507
(208) 870-6241
Mailing address
5251 E EXCHANGE WAY, NAMPA, ID 83687-5507
(208) 870-6241
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2546
ID
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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