Individual
CHEYENNE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT HHP
Contact information
Practice address
1325 S FIVE MILE RD, BOISE, ID 83709-1306
(949) 456-2817
Mailing address
1325 S FIVE MILE RD, BOISE, ID 83709-1306
(949) 456-2817
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS3921
ID
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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