Individual
AIDAN PAUL EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1013 LAKE ST STE 100, SANDPOINT, ID 83864-5002
(208) 597-7597
(208) 693-3300
Mailing address
1013 LAKE ST STE 100, SANDPOINT, ID 83864-5002
(208) 597-7597
(208) 693-3300
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4231
ID
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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