NPI 1003394214

Raeann Thornley

Practitioner Massage Therapist Boise, ID

Practice location

Address: 1625 W State St, Boise, ID 83702-4002
Phone: (208) 336-0017
Mailing address: 5018 S Cree Way, Boise, ID 83709-5343

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MASG-269 (ID)

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Registry record

NPI: 1003394214
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2018
Record last updated: 31 Jul 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.