Individual
ARIEL JADE COHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
533 E RIVERSIDE DR STE 12O, EAGLE, ID 83616-6095
(208) 921-9020
Mailing address
2562 W JEFFERY CT, MERIDIAN, ID 83646-1206
(208) 921-9020
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4707
ID
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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