Individual
EMILY MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
919 N 27TH ST STE A, BOISE, ID 83702-2130
(208) 284-2647
Mailing address
6893 S VALLEY HEIGHTS DR, BOISE, ID 83709-6654
(541) 331-2033
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-3949
ID
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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