Individual
MISS KATELYN L ZIEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2857 S MERIDIAN RD STE 100, MERIDIAN, ID 83642-7960
(208) 888-5858
Mailing address
2857 S MERIDIAN RD STE 100, MERIDIAN, ID 83642-7960
(208) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2646
ID
Other
Enumeration date
02/28/2018
Last updated
03/16/2021
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