Individual
ADAM JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4304 W EMERALD ST, BOISE, ID 83706-2039
(208) 340-0542
Mailing address
4304 W EMERALD ST, BOISE, ID 83706-2039
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8171946
ID
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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