Individual
CARLEY SHAWN DEVORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
102 S WASHINGTON ST, MOSCOW, ID 83843-2842
(208) 882-3012
Mailing address
PO BOX 247, POTLATCH, ID 83855-0247
(509) 378-1000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4771555
ID
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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