Individual
ROBERT STEPHEN BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
354 W SUNNYSIDE RD STE B, IDAHO FALLS, ID 83402-4644
(801) 635-6437
Mailing address
354 W SUNNYSIDE RD STE B, IDAHO FALLS, ID 83402-4644
(801) 635-6437
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-5171
ID
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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