NPI 1023494010
Hailey Jellison, LMT
Practice location
- Address
- 150 E Riverside Dr Suite 100, Eagle, ID 83616
- Phone
- (208) 938-3511
Registered specialties
Massage Therapist
Primary
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.