Individual
THOMAS AARON STINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
8505 W OVERLAND RD, BOISE, ID 83709-1644
(208) 629-1904
Mailing address
8505 W OVERLAND RD, BOISE, ID 83709-1644
(208) 629-1904
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-1685
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NO IDENTIFIERS
—
Enumeration date
05/22/2020
Last updated
11/27/2023
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