CASEY JAKE DIGRE LMT
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1346756020- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMT
- Status
- Active
Contact & Location
- Address
- 8109 N WAYNE BLVD, HAYDEN, ID, 838355031
- Phone
- (208) 667-7463
- Fax
- (208) 664-5225
Specialties & Taxonomies
Massage Therapist
Primary License: ID #1499