Checotah Carroll
Checotah Carroll is a Massage Therapist in Rexburg, Idaho. Licensed in Idaho. Registered with an NPI since 2018.
- Licensed in
- ID
- In the registry since
- 2018
Practice location Address checks out
32 Carlson AveRexburg, ID 83440-1914
Phone: (208) 557-3516
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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-3244 (ID) |
|---|
Record details
| NPI number | 1801394796 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 25, 2018 |
| Last updated in NPPES | January 25, 2018 |
| Mailing address | 32 Carlson Ave, Rexburg, ID 83440-1914 |
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