Individual
KATHLEEN PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
463 PERKINS LAKE RD, MOYIE SPRINGS, ID 83845-5104
(208) 267-2975
Mailing address
463 PERKINS LAKE RD, MOYIE SPRINGS, ID 83845-5104
(208) 267-2975
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MASG603
ID
Other
Enumeration date
10/14/2014
Last updated
02/27/2016
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