Individual
JESSICA HUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
30544 HIGHWAY 200, PONDERAY, ID 83852-5005
(208) 205-9559
Mailing address
PO BOX 624, COCOLALLA, ID 83813-0624
(480) 249-6994
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-3349
ID
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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