Individual
JESSECA MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 W IRONWOOD DR STE 102, COEUR D ALENE, ID 83814-4903
(208) 966-4376
Mailing address
850 W IRONWOOD DR STE 102, COEUR D ALENE, ID 83814-4903
(208) 966-4376
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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