Individual
MRS. SHELLY BEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1246 OAKLEY AVE, BURLEY, ID 83318-1840
(208) 678-8184
(208) 678-8164
Mailing address
1246 OAKLEY AVE, BURLEY, ID 83318-1840
(208) 678-8184
(208) 678-8164
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-468
ID
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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