Amy Leigh Forkan
Massage Therapist in McCall, ID. Individual provider (NPI-1).
NPI number1669923892
StatusActive
Last updated in NPPESOct 24, 2016
Details
- NPI
- 1669923892
- Entity type
- Individual (NPI-1)
- Name
- Amy Leigh Forkan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 24, 2016
- Last updated
- Oct 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MAS-1958 | ID | Yes |
Practice location
301 E Park St.McCall, ID 83638
Phone 208-630-3764
Mailing address
Po Box 975Donnelly, ID 83615-0975
Phone 208-630-3764
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All 7 Massage Therapist providers in McCall · All 202 providers in McCall
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