Individual
ALICIA SMYLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
PRIME SPORTS MED, 1601 12TH AVE RD SUITE 101, NAMPA, ID 83686
(208) 466-0200
Mailing address
1601 12TH AVE RD SUITE 101, NAMPA, ID 83686
(208) 466-0200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
225700000X
Massage Therapist
Primary
3771565
ID
Other
Enumeration date
06/09/2018
Last updated
12/24/2025
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