Individual
MRS. CHRISTINE ANN PROKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSESS, BA, RA, LMT
Contact information
Practice address
301 MAIN ST, JULIAETTA, ID 83535
(253) 241-3183
Mailing address
15919 BUTTERCUP LN, JULIAETTA, ID 83535-6020
(253) 241-3183
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60064542
WA
226300000X
Kinesiotherapist
MAS-4903
ID
Other
Enumeration date
02/17/2009
Last updated
02/06/2025
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