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Kaya Kaleolani Ruddle, MAS
Massage Therapist in Clark Fork, Idaho
NPI 1194482638

Kaya Kaleolani Ruddle is a Massage Therapist based in Clark Fork, ID. Kaya Kaleolani Ruddle practices in Clark Fork, ID and has the professional credentials of MAS. The NPI Number for Kaya Kaleolani Ruddle is 1194482638 and holds a License No. MAS-3798 (Idaho).

The current practice location address for Kaya Kaleolani Ruddle is 770 Cabinet Gorge Rd, Clark Fork, ID and can be reached out via phone at 208-304-2535.

Location: 770 Cabinet Gorge Rd, Clark Fork, ID, 83811-7002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194482638
Provider Name
Kaya Kaleolani Ruddle
Credential
MAS
Provider Entity Type
Individual
Gender
Female
Address
770 Cabinet Gorge Rd, Clark Fork, ID, 83811-7002
Phone Number
208-304-2535
Fax Number
Provider Enumeration Date
11/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
770 Cabinet Gorge Rd
City
Clark Fork
State
Idaho
Zip
83811-7002
Phone Number
208-304-2535
Fax Number
person
Provider Business Mailing Address Details
Address
770 Cabinet Gorge Rd
City
Clark Fork
State
Idaho
Zip
83811-7002
Phone Number
208-304-2535
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MAS-3798 (Idaho)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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