Individual
CLOIS PAUL HANCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, NAC
Contact information
Practice address
8882 N GOVERNMENT WAY STE P, HAYDEN, ID 83835-9282
(208) 254-2099
Mailing address
8882 N GOVERNMENT WAY STE P, HAYDEN, ID 83835-9282
(509) 904-2330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA00014647
WA
225700000X
Massage Therapist
Primary
MASG-812
ID
Other
Enumeration date
10/05/2021
Last updated
04/28/2025
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