Amanda Goulart
Amanda Goulart is a Massage Therapist in Coeur D Alene, Idaho. Licensed in Idaho. Registered with an NPI since 2015.
- Licensed in
- ID
- In the registry since
- 2015
Practice location Address checks out
1042 W Mill Ave Ste 104Coeur D Alene, ID 83814-2489
Phone: (208) 659-6526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X · Licence MAS-499 (ID) |
|---|
Record details
| NPI number | 1073987079 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 14, 2015 |
| Last updated in NPPES | November 14, 2015 |
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