Individual
BAYLIE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1558 MIDWAY AVE., AMMON, ID 83406
(208) 709-4660
Mailing address
4440 E HENSLEY DR, IDAHO FALLS, ID 83401-1407
(208) 709-4660
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
12/10/2021
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