Individual
KRISTINA M WENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 E COMMERCIAL ST, WEISER, ID 83672-2317
(801) 910-6865
Mailing address
701 E COMMERCIAL ST, WEISER, ID 83672-2317
(801) 910-6865
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-2522
ID
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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