| White Willow Massage | |
|
12708 Cultivator St, Caldwell, ID 83607-5298 | |
| (208) 991-2298 | |
| Not Available |
| Full Name | White Willow Massage |
|---|---|
| Type | Facility |
| Speciality | Massage Therapist |
| Location | 12708 Cultivator St, Caldwell, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467859447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| White Willow Massage 12708 Cultivator, Caldwell, ID 83607 Ph: (208) 991-2298 | White Willow Massage 12708 Cultivator St, Caldwell, ID 83607-5298 Ph: (208) 991-2298 |
Tyler Recla, LMT, CPT, CSMS, CES Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 4611 Enterprise Way, Caldwell, ID 83605 Phone: 208-584-5254 | |
Donna Jane Johnson, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 13724 Paoletti St, Caldwell, ID 83607 Phone: 206-786-1610 | |
Krystal Jensen, Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 15190 Kinloch Dr, Caldwell, ID 83607 Phone: 208-250-0470 | |
Leticia Marie Garza, LMT Massage Therapist Medicare: Not Enrolled in Medicare Practice Location: 211 E Logan St Ste B1-1, Caldwell, ID 83605 Phone: 208-284-6266 |