Individual
MYRIAH BETH HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
417 E VEATCH ST STE 4, MOSCOW, ID 83843-3570
(208) 997-1686
Mailing address
318 E 6TH ST APT 4, MOSCOW, ID 83843-2998
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-3475
ID
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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