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Janice Decordova Rudeen
Massage Therapist in Bonners Ferry, Idaho
NPI 1265082531

Janice Decordova Rudeen is a Massage Therapist based in Bonners Ferry, ID. Janice Decordova Rudeen practices in Bonners Ferry, ID. The NPI Number for Janice Decordova Rudeen is 1265082531 and holds a License No. MASG17 (Idaho).

The current practice location address for Janice Decordova Rudeen is 6843 Main St, Bonners Ferry, ID and can be reached out via phone at 208-290-7281 and via fax at 866-801-7696.

Location: 6843 Main St, Bonners Ferry, ID, 83805-1446
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265082531
Provider Name
Janice Decordova Rudeen
Credential
Provider Entity Type
Individual
Gender
Female
Address
6843 Main St, Bonners Ferry, ID, 83805-1446
Phone Number
208-290-7281
Fax Number
866-801-7696
Provider Enumeration Date
09/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6843 Main St
City
Bonners Ferry
State
Idaho
Zip
83805-8552
Phone Number
208-290-7281
Fax Number
866-801-7696
person
Provider Business Mailing Address Details
Address
6843 Main St
City
Bonners Ferry
State
Idaho
Zip
83805-8552
Phone Number
208-290-7281
Fax Number
866-801-7696
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MASG17 (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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