Individual
KATHERYN REKOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1390 S MAPLE GROVE RD # 200, BOISE, ID 83709-1610
(208) 672-0100
Mailing address
1390 S MAPLE GROVE RD # 200, BOISE, ID 83709-1610
(208) 672-0100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG1340
ID
Other
Enumeration date
02/07/2019
Last updated
02/07/2019
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