Bethany Bloomer
Bethany Bloomer is a Massage Therapist in Hayden, Idaho. Licensed in Idaho. Registered with an NPI since 2020.
- Licensed in
- ID
- In the registry since
- 2020
Practice location Address checks out
2151 W Hayden AveHayden, ID 83835-7414
Phone: (208) 762-6772
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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 MAS4222 (ID) |
|---|
Record details
| NPI number | 1710585138 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 16, 2020 |
| Last updated in NPPES | October 16, 2020 |
| Certification date | October 16, 2020 |
| Mailing address | 2151 W Hayden Ave, Hayden, ID 83835-7414 |
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