Individual
TERESA BOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 E SELTICE WAY STE E, POST FALLS, ID 83854-7977
(208) 651-9789
Mailing address
43 SANDY BEACH LN, COCOLALLA, ID 83813-8705
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
ID
Other
Enumeration date
04/22/2018
Last updated
04/22/2018
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