Angela Alice Chapin, MT
Massage Therapist in Ponderay, ID. Individual provider (NPI-1).
NPI number1679110845
StatusActive
Last updated in NPPESDec 5, 2019
Details
- NPI
- 1679110845
- Entity type
- Individual (NPI-1)
- Name
- Angela Alice Chapin
- Credential
- MT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2019
- Last updated
- Dec 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MAS3548 | ID | Yes |
Other names
- Angela Alice Chapin (Professional Name)
Practice location
30544 Highway 200Ponderay, ID 83852-5005
Phone 208-255-9559
Mailing address
43 Sandy Beach LnCocolalla, ID 83813-8705
Phone 208-659-2603
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