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David Bray, LMT

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

NPI number1740905967
StatusActive
Last updated in NPPESOct 10, 2022

Details

NPI
1740905967
Entity type
Individual (NPI-1)
Name
David Bray
Credential
LMT
Sex
Male
Sole proprietor
No
Enumeration date
Oct 10, 2022
Certification date
Oct 10, 2022
Last updated
Oct 10, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMAS-1499IDYes

Practice location

9751 N Government Way Ste 4
Hayden, ID 83835-9645

Phone 208-696-1330 · Fax 208-684-7834

Mailing address

9751 N Government Way Ste 4
Hayden, ID 83835-9645

Phone 208-696-1330 · Fax 208-684-7834

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