Individual
KERSTIN STALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 E 3RD ST, MOSCOW, ID 83843-4318
(208) 610-3591
Mailing address
PO BOX 2, UNIONTOWN, WA 99179-0002
(208) 669-0039
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-5023
ID
Other
Enumeration date
08/21/2023
Last updated
10/23/2024
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