Individual
ROBYN POUPART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 CHURCH ST STE 205B, SANDPOINT, ID 83864-7002
(208) 290-7993
Mailing address
1304 HONEYSUCKLE AVE, SANDPOINT, ID 83864-9499
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4205
ID
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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