| Derek A Hatch, MT | |
|
222 Racoon Ln, Bonners Ferry, ID 83805-6078 | |
| (208) 610-8136 | |
| Not Available |
| Full Name | Derek A Hatch |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 222 Racoon Ln, Bonners Ferry, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861108409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MAS-4154 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derek A Hatch, MT 222 Racoon Ln, Bonners Ferry, ID 83805-6078 Ph: (208) 610-8136 | Derek A Hatch, MT 222 Racoon Ln, Bonners Ferry, ID 83805-6078 Ph: (208) 610-8136 |
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Janice Decordova Rudeen, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6843 Main St, Bonners Ferry, ID 83805 Phone: 208-290-7281 Fax: 866-801-7696 | |
Holliday Hill, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6451 Mccall St, Bonners Ferry, ID 83805 Phone: 208-920-0571 |