Individual
KAYLENE HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 SOUTH WASHINGTON, SUITE 6, MOSCOW, ID 83843
(208) 301-2155
Mailing address
PO BOX 331, 211 N MAIN, TROY, ID 83871
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1953
ID
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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