ANTHONY BAUTISTA LMT, CPT, CES
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1932082716- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMT, CPT, CES
- Status
- Active
Contact & Location
- Address
- 8631 W ARDENE ST, BOISE, ID, 837092601
- Phone
- (208) 629-1904
Specialties & Taxonomies
Massage Therapist
Primary License: ID #6971367