KEVIN BLAIR

IDAHO FALLS, ID
NPI1053145110
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: ID  MAS-4984)
Enumeration Date2024-08-29
Last Update Date2024-08-29
Business Address
KEVIN BLAIR LMT,PTA
3155 CHANNING WAY
IDAHO FALLS, ID 83404-7874
Phone number: 208-557-8962
Mailing Address
KEVIN BLAIR LMT,PTA
440 E 24TH ST
IDAHO FALLS, ID 83404-6946
Phone number:
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