Individual
BRENDA EACHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 E 1ST AVE, POST FALLS, ID 83854-9520
(208) 262-6332
Mailing address
1515 E 1ST AVE, POST FALLS, ID 83854-9520
(208) 262-6332
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG-150
ID
Other
Enumeration date
04/06/2021
Last updated
04/09/2021
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