Individual
NANCY KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MLD-C
Contact information
Practice address
102 COURTHOUSE DR STE F, SALMON, ID 83467-3905
(208) 768-7376
Mailing address
516 MAIN ST # 361, SALMON, ID 83467-4219
(208) 768-7376
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-5422
ID
Other
Enumeration date
09/23/2024
Last updated
09/25/2024
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