KENNETH ADRAIN SMITH

COEUR D ALENE, ID
NPI1396542460
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225700000X Massage Therapist
Additional Taxonomies225700000X Massage Therapist
(Licence: ID  mas-4015)
Enumeration Date2025-02-26
Last Update Date2025-02-26
Business Address
KENNETH ADRAIN SMITH lmt
1104 N 4TH ST # B
COEUR D ALENE, ID 83814-3217
Phone number: 208-292-4873
Mailing Address
KENNETH ADRAIN SMITH lmt
1104 N 4TH ST # B
COEUR D ALENE, ID 83814-3217
Phone number: