Individual
MS. TERRY LEE CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
279 E. 3RD N., SODA SPRINGS, ID 83276
(208) 390-7216
Mailing address
279 E. 3RD N., SODA SPRINGS, ID 83276
(208) 390-7216
(208) 547-0915
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-192
ID
225700000X
Massage Therapist
MASG-168
ID
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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