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Krista Antram, LMT
NPI 1851837942 · on the registry since 2017
Practice
- Address
- 1409 W Main St
Ste 100
Boise, ID 83702 - Phone
- (208) 871-8834
- Clinicians at this address
- 7
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
- 2017-01-12
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