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Karmen Porter

Massage Therapist in Meridian, ID. Individual provider (NPI-1).

NPI number1114306271
StatusActive
Last updated in NPPESMay 22, 2015

Details

NPI
1114306271
Entity type
Individual (NPI-1)
Name
Karmen Porter
Sex
Female
Sole proprietor
No
Enumeration date
May 22, 2015
Last updated
May 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMAS-1968IDYes

Practice location

1529 W Crescent Ct
Meridian, ID 83646-1149

Phone 208-869-7579

Mailing address

1465 W Deer Crest St
B102
Meridian, ID 83646

Phone 208-869-7579

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