MARSHALL BLAKE COLEMAN LMT
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1760156764- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMT
- Status
- Active
Contact & Location
- Address
- 1550 S CLOVERDALE RD STE 103, BOISE, ID, 837091128
- Phone
- (208) 867-5222
Specialties & Taxonomies
Massage Therapist
Primary License: ID #MAS-3946