STACEY ANN ERTEL

CAMBRIDGE, ID
NPI1174757793
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: ID  PT-1187)
Additional Taxonomies172M00000X Mechanotherapist
(Licence: OR  3180)
Enumeration Date2009-05-11
Last Update Date2009-05-11
Business Address
-- STACEY ANN ERTEL PT
3054 GOODRICH RD
CAMBRIDGE, ID 83610-5134
Phone number: 208-257-3499
Mailing Address
-- STACEY ANN ERTEL PT
3054 GOODRICH RD
CAMBRIDGE, ID 83610-5134
Phone number: 208-257-3499