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Jessica Kowallis
NPI 1295137883 · on the registry since 2014
Practice
- Address
- 1740 N Milwaukee St Ste B
Boise, ID 83704 - Phone
- (208) 377-9500
- Fax
- (208) 377-8449
- Organisation at this address
- Boise Valley Chiropractic Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Massage Therapist
225700000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho