Stockton, Susan R

Stockton, Susan R is an sole proprietor health care provider with primary practice located at 575 E Parkcenter Blvd Ste 190 , Boise ID 83706-6773. 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. Stockton, Susan R can be contacted via phone (208) 407-7244.

Contact Information

Primary practice address
575 E Parkcenter Blvd Ste 190 Boise ID 83706-6773
Phone: (208) 407-7244
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MA44626 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT040994 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MASG-218 Idaho

Profile Details

NPI number 1285665232
LBN Legal business name Stockton, Susan R
Credentials CNMT, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2006
Last updated Apr 14th, 2024 - about last year

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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