Most Relevant Information
Provider Data
| NPI Number: | 1003372384 |
| Provider Name: | MICHELE MURPHY |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MASG-457 |
Most Important Dates
| Enumeration Date: | 02/12/2019 |
| Last Updated: | 02/12/2019 |
Provider Practice Location
804 S WASHINGTON ST
MOSCOW
ID
838433182
Practice Location Phone/Fax
| Phone: | 2083012536 |
| Fax: |
Provider Mailing Location
1701 WALLEN RD
TROY
ID
838719634
Provider Mailing Phone/Fax
| Phone: | 2083012536 |
| Fax: |