Individual
COURTNEE RAE MOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
THE GYM, 1005 ID-13, GRANGEVILLE, ID 83530
(208) 790-8759
Mailing address
508 SMITH ST, COTTONWOOD, ID 83522-6003
(208) 790-8759
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4748
ID
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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