RUSSELL W FREESTONE

BOISE, ID
NPI1891235552
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: ID  MASG-2217)
Enumeration Date2017-02-28
Last Update Date2017-02-28
Business Address
RUSSELL W FREESTONE LMT
8700 W WINCHESTER DR
BOISE, ID 83704-7069
Phone number: 208-378-1377
Mailing Address
RUSSELL W FREESTONE LMT
8700 W WINCHESTER DR
BOISE, ID 83704-7069
Phone number: 208-378-1377