Individual
BETHANY ANN NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1104 N 4TH ST STE B, COEUR D ALENE, ID 83814-3217
(208) 292-4873
(208) 292-4875
Mailing address
PO BOX 2343, COEUR D ALENE, ID 83816-2343
(931) 636-4822
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4336
ID
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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