NPI 1164818480

Misha Dawn Mooney, LACDIPLOM

Practitioner Acupuncturist Boise, ID

Practice location

Address: 203 W Fort St, Boise, ID 83702-4528
Phone: (224) 388-0810
Mailing address: 816 N 10th St, Boise, ID 83702-5422

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence ACU-310 (ID)

Other Acupuncturist providers in Idaho →

Registry record

NPI: 1164818480
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2015
Record last updated: 13 Apr 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.