Kerstin Staley

NPI 1740064914 · on the registry since 2023 · sole proprietor

Practice

Address: 116 E 3rd St
Moscow, ID 83843
Phone: (208) 610-3591
Organisation at this address: Roots Massage & Bodywork Llc Suzanne Kaplan Col Mbr
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Additional practice sites

316 N Main St, Moscow, ID

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-10-23

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