Individual
EMILY CALLAGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
515 PINE ST STE G, SANDPOINT, ID 83864-1658
(406) 253-0716
Mailing address
516 N ELLA AVE, SANDPOINT, ID 83864-1854
(406) 253-0716
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2638
ID
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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