Individual
TODD KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2090 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 992-3500
(208) 618-3074
Mailing address
2090 S EAGLE RD, MERIDIAN, ID 83642-6707
(208) 992-3500
(208) 618-3074
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
ID
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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