Hansen, Mikyla
Hansen, Mikyla is an individual health care provider with primary practice located at 2060 E 25Th St , Idaho Falls ID 83404-6490. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Hansen, Mikyla can be contacted via phone (208) 821-2105.Contact Information
Primary practice address
2060 E 25Th St
Idaho Falls ID 83404-6490
Phone: (208) 821-2105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | MAS-2421 | Idaho |
Profile Details
| NPI number | 1760870117 |
|---|---|
| LBN Legal business name | Hansen, Mikyla |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 7th, 2015 |
| Last updated | Jan 7th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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