Individual
ANNEKA LATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
181 W COMMERCE DR, HAYDEN, ID 83835-9221
(208) 696-1330
Mailing address
950 S CARPENTER LOOP, POST FALLS, ID 83854-5748
(208) 219-8219
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2671639
ID
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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