| Roxanne M Willis, | |
|
6186 W Maine St., Spirit Lake, ID 83869 | |
| (208) 651-2298 | |
| (208) 623-6717 |
| Full Name | Roxanne M Willis |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 6186 W Maine St., Spirit Lake, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831509066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MAS-13 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Roxanne M Willis, Po Box 1133, Spirit Lake, ID 83869-1133 Ph: (208) 651-2298 | Roxanne M Willis, 6186 W Maine St., Spirit Lake, ID 83869 Ph: (208) 651-2298 |
Susan Mcclellan, MASG-897 Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 5868 W. Massachusetts St, Spirit Lake, ID 83869 Phone: 208-651-1591 | |
Loree Peery, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 30899 N Nautical Loop, Spirit Lake, ID 83869 Phone: 208-277-4551 |