Individual
MS. PAULA JO NYGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
111 N WASHINGTON ST STE 7, MOSCOW, ID 83843-2884
(208) 310-9744
Mailing address
111 N WASHINGTON ST STE 7, MOSCOW, ID 83843-2884
(208) 310-9744
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-864
ID
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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