ANTHONY BAUTISTA

BOISE, ID
NPI1932082716
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: ID  6971367)
Enumeration Date2025-07-29
Last Update Date2025-07-29
Business Address
ANTHONY BAUTISTA LMT, CPT, CES
8631 W ARDENE ST
BOISE, ID 83709-2601
Phone number: 208-629-1904
Mailing Address
ANTHONY BAUTISTA LMT, CPT, CES
8631 W ARDENE ST
BOISE, ID 83709-2601
Phone number: 208-629-1904
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