Individual
MS. JESSICA STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2990 E PALOUSE RIVER DR TRLR 307, MOSCOW, ID 83843-8869
(727) 543-2506
Mailing address
2990 E PALOUSE RIVER DR TRLR 307, MOSCOW, ID 83843-8869
(727) 543-2506
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 60392624
WA
225700000X
Massage Therapist
Primary
MAS-3067
ID
Other
Enumeration date
08/12/2013
Last updated
07/10/2026
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