Individual
TAMMEY CARTER
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
919 N 27TH ST STE A, BOISE, ID 83702-2130
(208) 284-2647
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2696
ID
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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