Individual
MADISON AMELIA ROBNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 N 15TH ST, COEUR D ALENE, ID 83814-5746
(208) 691-6740
Mailing address
1127 N 15TH ST, COEUR D ALENE, ID 83814-5746
(208) 691-6740
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
90413
CA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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