Individual
BRANDIE BLUEMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1799 SCOTTSDALE DR, POCATELLO, ID 83202-2880
(208) 530-0688
Mailing address
1799 SCOTTSDALE DR, POCATELLO, ID 83202-2880
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
9542745-4701
UT
225700000X
Massage Therapist
Primary
MAS-2489
ID
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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