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WHITE WILLOW MASSAGE

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Company Details

Name: WHITE WILLOW MASSAGE
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 24 Aug 2011 (14 years ago)
Entity Number: 455445
Place of Formation: IDAHO
File Number: 0000455445
ZIP code: 83605
County: Canyon County
Mailing Address: 4013 S WASHINGTON APT 104 CALDWELL, ID 83605

National Provider Identifier

NPI Number:
1467859447

Authorized Person:

Name:
MARCELLA M CRANE
Role:
LMT
Phone:

Taxonomy:

Selected Taxonomy:
225700000X - Massage Therapist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000455445 2011-08-24

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State