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Shoshone Bannock Hotel & Event Center
Massage Therapist in Fort Hall, Idaho
NPI 1336872993

Shoshone Bannock Hotel & Event Center is a Massage Therapist based in Fort Hall, ID. Shoshone Bannock Hotel & Event Center practices in Fort Hall, ID. The NPI Number for Shoshone Bannock Hotel & Event Center is 1336872993 and holds a License No. (Idaho).

The current practice location address for Shoshone Bannock Hotel & Event Center is 777 Bannock Trail, Fort Hall, ID and can be reached out via phone at 208-238-4850.

Location: 777 Bannock Trail, Fort Hall, ID, 83203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336872993
Provider Name
Shoshone Bannock Hotel & Event Center
Credential
Provider Entity Type
Organization
Address
777 Bannock Trail, Fort Hall, ID, 83203
Phone Number
208-238-4850
Fax Number
Provider Enumeration Date
07/01/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020429 01 ID HEALTH MANAGEMENT ADMINISTRATORS
institution
Provider Business Practice Location Address Details
Address
777 Bannock Trail
City
Fort Hall
State
Idaho
Zip
83203
Phone Number
208-238-4850
Fax Number
person
Provider Business Mailing Address Details
Address
777 Bannock Trail
City
Fort Hall
State
Idaho
Zip
83203
Phone Number
208-238-4850
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
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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