Individual
KELLEE DENISE WHIPPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
111 BEVER GRADE RD, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 843-2658
Mailing address
PO DRAWER 367, LAPWAI, ID 83540-0367
(208) 843-2271
(208) 843-2658
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-1084
ID
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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