Organization
CKAM REJUVENATION CENTER LLC
Active
Other names
Aiyanna Wellness Day Spa
Organization subpart
No
Provider details
NPI number
Authorized official
ARLA MARKAEL BORNHOFT (OWNER)
(208) 263-3211
Entity
Organization
Contact information
Practice address
30410 HIGHWAY 200 STE 100, PONDERAY, ID 83852-9601
(208) 263-3211
Mailing address
30410 HIGHWAY 200 STE 100, PONDERAY, ID 83852-9601
(208) 627-9687
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
09/03/2024
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