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Elizabeth Davenport, LMT
NPI 1750963328 · on the registry since 2021
Practice
- Address
- 1503 E Highway 77
Malta, ID 83342 - Phone
- (208) 406-6420
Additional practice sites
- 335 E Lewis St, Pocatello, 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
- 2021-04-23
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