Individual
HANNAH ROSE LEAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 E SELTICE WAY, POST FALLS, ID 83854-7022
(208) 777-0128
Mailing address
17892 W CALM WATERS CT, POST FALLS, ID 83854-0213
(208) 215-6692
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-5229
ID
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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