Individual
MANDARA TENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3365 E QUAD PARK CT STE 114, POST FALLS, ID 83854-5905
(509) 481-5294
Mailing address
3365 E QUAD PARK CT STE 114, POST FALLS, ID 83854-5905
(509) 481-5294
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60123473
WA
225700000X
Massage Therapist
Primary
MAS-3751
ID
Other
Enumeration date
03/29/2010
Last updated
03/13/2026
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