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Kebbie Wheeler
Massage Therapist in Blackfoot, Idaho
NPI 1285243865

Kebbie Wheeler is a Massage Therapist based in Blackfoot, ID. Kebbie Wheeler practices in Blackfoot, ID. The NPI Number for Kebbie Wheeler is 1285243865 and holds a License No. MAS-4039 (Idaho).

The current practice location address for Kebbie Wheeler is 625 W Pacific St Ste 5, Blackfoot, ID and can be reached out via phone at 208-680-3777. You can also correspond with Kebbie Wheeler through the mailing address at 625 W PACIFIC ST STE 5, BLACKFOOT, ID - 83221-2034 (mailing address contact number: 208-680-3777).

Location: 625 W Pacific St Ste 5, Blackfoot, ID, 83221-2034
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Provider Profile Details
NPI Number
1285243865
Provider Name
Kebbie Wheeler
Credential
Provider Entity Type
Individual
Gender
Female
Address
625 W Pacific St Ste 5, Blackfoot, ID, 83221-2034
Phone Number
208-680-3777
Fax Number
Provider Enumeration Date
07/29/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
82-3190337 01 ID TRIWEST
institution
Provider Business Practice Location Address Details
Address
625 W Pacific St Ste 5
City
State
Zip
83221-2034
Phone Number
208-680-3777
Fax Number
person
Provider Business Mailing Address Details
Address
625 W Pacific St Ste 5
City
State
Zip
83221-2034
Phone Number
208-680-3777
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MAS-4039 (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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