SHANNON BOHANEK
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1821709239- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2151 W HAYDEN AVE, HAYDEN, ID, 838357414
- Phone
- (208) 762-6772
Specialties & Taxonomies
Massage Therapist
Primary License: ID #MAS4899