-- KRISTA ANTRAM -- Lmt
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1851837942- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Lmt
- Status
- Active
Contact & Location
- Address
- 1409 W MAIN ST STE 100, BOISE, ID, 837025201
- Phone
- (208) 871-8834
Specialties & Taxonomies
Massage Therapist
Primary License: ID #MAS-3015