| Susan Mcclellan, MASG-897 | |
|
5868 W. Massachusetts St, Spirit Lake, ID 83869-1173 | |
| (208) 651-1591 | |
| Not Available |
| Full Name | Susan Mcclellan |
|---|---|
| Gender | Female |
| Speciality | Massage Therapist |
| Location | 5868 W. Massachusetts St, Spirit Lake, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083003263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | MASG-897 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Mcclellan, MASG-897 Po Box 1173, 5868 W. Massachusetts St, Spirit Lake, ID 83869-1173 Ph: (208) 651-1591 | Susan Mcclellan, MASG-897 5868 W. Massachusetts St, Spirit Lake, ID 83869-1173 Ph: (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 | |
Roxanne M Willis, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 6186 W Maine St., Spirit Lake, ID 83869 Phone: 208-651-2298 Fax: 208-623-6717 |