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Individual

ROBYN BAUMGARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
9976 W EMERALD ST, BOISE, ID 83704-9769
(208) 229-3742
Mailing address
PO BOX 44828, BOISE, ID 83711-0828

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-4819
ID

Other

Enumeration date
08/23/2022
Last updated
08/23/2022
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