AMANDA FAYE APPLING
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1467148353- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 9652 W STATE ST, STAR, ID, 836695858
- Phone
- (208) 286-0766
Specialties & Taxonomies
Massage Therapist
Primary License: ID #MAS-3419