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Mrs. JACLYN WILLIAMS COSPER lmt

Individual Provider (NPI-1) Active

Massage Therapist

Provider Information

NPI Number
1154935302
Provider Type
Individual Provider (NPI-1)
Credentials
lmt
Status
Active

Contact & Location

Address
8182 N WAYNE DR STE A, HAYDEN, ID, 838354918
Phone
(208) 603-0055

Specialties & Taxonomies

Massage Therapist Primary License: ID #mas-4160

All Addresses

MAILING

8182 N WAYNE DR STE A

HAYDEN, ID, 838354918

(208) 603-0055

LOCATION

8182 N WAYNE DR STE A

HAYDEN, ID, 838354918

(208) 603-0055