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Mr. Bryon Keith Stolle II, LMT
Massage Therapist in Eagle, Idaho
NPI 1912617960

Bryon Keith Stolle II is a Massage Therapist based in Eagle, ID. Bryon Keith Stolle II practices in Eagle, ID and has the professional credentials of LMT. The NPI Number for Bryon Keith Stolle II is 1912617960 and holds a License No. MAS-3858 (Idaho).

The current practice location address for Bryon Keith Stolle II is 781 N Shadowridge Ave, Eagle, ID and can be reached out via phone at 208-573-0842.

Location: 781 N Shadowridge Ave, Eagle, ID, 83616-5674
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912617960
Provider Name
Bryon Keith Stolle II
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
781 N Shadowridge Ave, Eagle, ID, 83616-5674
Phone Number
208-573-0842
Fax Number
Provider Enumeration Date
11/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
781 N Shadowridge Ave
City
Eagle
State
Idaho
Zip
83616-5674
Phone Number
208-573-0842
Fax Number
person
Provider Business Mailing Address Details
Address
781 N Shadowridge Ave
City
Eagle
State
Idaho
Zip
83616-5674
Phone Number
208-573-0842
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-3858 (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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