Individual
ANGELA ALICE CHAPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
30544 HIGHWAY 200, PONDERAY, ID 83852-5005
(208) 255-9559
Mailing address
43 SANDY BEACH LN, COCOLALLA, ID 83813-8705
(208) 659-2603
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS3548
ID
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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