Individual
MRS. RACHEL N WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3775N EAGLE RD, BOISE, ID 83713-5005
(208) 409-3901
Mailing address
3121 CASCADIA ST, CALDWELL, ID 83605-6189
(208) 409-3901
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-825
ID
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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