| Dr Jamie Lynne Davis, DAOM, LAC | |
|
30736 Highway 200 Ste 104, Ponderay, ID 83852-8701 | |
| (208) 264-0644 | |
| (888) 979-6134 |
| Full Name | Dr Jamie Lynne Davis |
|---|---|
| Gender | Female |
| Speciality | Acupuncturist |
| Location | 30736 Highway 200 Ste 104, Ponderay, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407092604 | NPI | - | NPPES |
| ACU-348 | Other | ID | INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | AC600065362 (Washington) | Secondary |
| 225700000X | Massage Therapist | MA00023205 (Washington) | Secondary |
| 171100000X | Acupuncturist | ACU-348 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jamie Lynne Davis, DAOM, LAC 30736 Highway 200 Ste 104, Ponderay, ID 83852-8701 Ph: (208) 264-0644 | Dr Jamie Lynne Davis, DAOM, LAC 30736 Highway 200 Ste 104, Ponderay, ID 83852-8701 Ph: (208) 264-0644 |
Ckam Rejuvenation Center Llc Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 30410 Highway 200 Ste 100, Ponderay, ID 83852 Phone: 208-263-3211 |