Individual
TANIA YEGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3050 N LAKEHARBOR LN # 164, BOISE, ID 83703-6906
(208) 972-1910
Mailing address
4224 S FEDERAL WAY, APT. V-106, BOISE, ID 83716-5577
(208) 972-1910
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2721
ID
225700000X
Massage Therapist
MT121623
TX
Other
Enumeration date
12/26/2015
Last updated
07/21/2022
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