CHARLES GOLIGHTLY
Organization (NPI-2)
Active
Massage Therapist
Provider Information
- NPI Number
1922491513- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1797 N AZURITE DR, KUNA, ID, 836345370
- Phone
- (208) 936-9455
Specialties & Taxonomies
Massage Therapist
Primary License: ID #MASG-1948