Individual
AMY ELLEN HENKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
960 S BROADWAY AVE STE 200, BOISE, ID 83706-3667
(208) 433-9211
(208) 443-9241
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS - 996
ID
Other
Enumeration date
09/23/2013
Last updated
03/17/2018
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