Individual
KATEE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
820 S LATAH ST, BOISE, ID 83705-2255
(208) 918-0643
Mailing address
322 S HARDING ST, BOISE, ID 83705-1347
(208) 297-8919
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4373
ID
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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