Individual
MS. PAULA A KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3858 N GARDEN CENTER WAY STE 101, BOISE, ID 83703-5008
(208) 336-9306
Mailing address
3858 N GARDEN CENTER WAY STE 101, BOISE, ID 83703-5008
(208) 336-9306
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NTI-237711
ID
Other
Enumeration date
11/01/2011
Last updated
11/01/2011
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