| Country Clinical Massage | |
|
6101 E Highway 54 Ste A, Athol, ID 83801-6085 | |
| (208) 755-6301 | |
| Not Available |
| Full Name | Country Clinical Massage |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 6101 E Highway 54 Ste A, Athol, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578956637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MAS-47 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Country Clinical Massage Po Box 1015, 6101 E Hwy 54 Suite A, Athol, ID 83801-1015 Ph: (208) 755-6301 | Country Clinical Massage 6101 E Highway 54 Ste A, Athol, ID 83801-6085 Ph: (208) 755-6301 |
Michele Renee Konechny, LMP Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 24599 N Corbin Hill Rd, Athol, ID 83801 Phone: 208-625-0787 | |
Davina Gelardi, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6101 E Highway 54, Athol, ID 83801 Phone: 208-920-0825 |