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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.

Location: 625 W Pacific St Ste 5, Blackfoot, ID, 83221-2034
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
tick
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
Blackfoot
State
Idaho
Zip
83221-2034
Phone Number
208-680-3777
Fax Number
person
Provider Business Mailing Address Details
Address
625 W Pacific St Ste 5
City
Blackfoot
State
Idaho
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
225700000X
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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