NPI 1699947127

Alicia Braden, LMP

Practitioner Mechanotherapist Bonners Ferry, ID

Practice location

Address: 6606 Lincoln St, Bonners Ferry, ID 83805-8513
Phone: (208) 290-7088
Mailing address: 6694 Pine St., Bonners Ferry, ID 83805-8513

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA00011216 (WA)

Other Mechanotherapist providers in Idaho →

Registry record

NPI: 1699947127
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2008
Record last updated: 25 Mar 2008

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.