Individual
SAMANTHA L THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1012 W MAIN ST, MIDDLETON, ID 83644-5270
(208) 671-7676
Mailing address
3921 BISMARK AVE, CALDWELL, ID 83605-7513
(208) 671-7676
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MAS-3460
ID
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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