Whalio Doctors

NPI 1023494010

Hailey Jellison, LMT

Practitioner Massage Therapist Eagle, ID

Practice location

Address
150 E Riverside Dr Suite 100, Eagle, ID 83616
Phone
(208) 938-3511

Registered specialties

Massage Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MASG-581 (ID)

Registry record

NPI
1023494010
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Aug 2015
Record last updated
3 Aug 2015

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.