Individual
KATHERINE MARTHALLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1390 S MAPLE GROVE RD, BOISE, ID 83709-1610
(208) 672-0100
Mailing address
1390 S MAPLE GROVE RD, BOISE, ID 83709-1610
(208) 672-0100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-2354
ID
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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