NPI age
19 years
Enumerated 2007-05-02
Across 136 active acupuncturist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | MA00014510 | MASSAGE LICENSE |
| 01 (ID) | ACU-22 | ACUPUNCTURE LICENSE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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