| Healing By Fire Art Glass Therapy | |
|
12768 S Cloverdale Rd Kuna ID 83634-2520 | |
| (208) 353-2838 | |
| Not Available |
| Full Name | Healing By Fire Art Glass Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12768 S Cloverdale Rd, Kuna, Idaho |
| Authorized Official Name and Position | Daniel T Ault (EMPLOYEE) |
| Authorized Official Contact | 2086159575 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing By Fire Art Glass Therapy 12768 S Cloverdale Rd Kuna ID 83634-2520 Ph: (208) 353-2838 | Healing By Fire Art Glass Therapy 12768 S Cloverdale Rd Kuna ID 83634-2520 Ph: (208) 353-2838 |
| NPI Number | 1124774898 |
|---|---|
| Provider Enumeration Date | 02/22/2022 |
| Last Update Date | 02/22/2022 |
| Certification Date | 02/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124774898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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