Individual
MRS. TAMI SUE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, LMT
Contact information
Practice address
841 E FAIRVIEW AVE STE 100, MERIDIAN, ID 83642-9386
(208) 863-8968
Mailing address
2697 W DEERFIELD CT, EAGLE, ID 83616-2339
(208) 863-8968
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MASG-153
ID
Other
Enumeration date
12/29/2014
Last updated
12/29/2014
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