Individual
DANIEL JOHN BUTSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5077 W PALMWOOD LN, POST FALLS, ID 83854-6972
(208) 512-4165
Mailing address
5077 W PALMWOOD LN, POST FALLS, ID 83854-6972
(208) 512-4165
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS - 2953
ID
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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