Individual
MS. ABIGAIL REBECCA EMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1401 W BIZTOWN LOOP, HAYDEN, ID 83835-5113
(208) 762-3660
Mailing address
359 N LYNNWOOD CT, POST FALLS, ID 83854-5304
(208) 755-6712
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2957
ID
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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