Organization
SOMA FLEX THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANIA YEGGE LMT (OWNER)
(208) 972-1910
Entity
Organization
Contact information
Practice address
3050 N LAKEHARBOR LN STE 164, BOISE, ID 83703-6906
(208) 972-1910
Mailing address
4224 S FEDERAL WAY, V-106, BOISE, ID 83716-5577
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2721
ID
225700000X
Massage Therapist
MT121623
TX
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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