Provider Demographics
NPI:1093500464
Name:HONOR THERAPEUTICS
Entity type:Organization
Organization Name:HONOR THERAPEUTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMBLIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:208-760-9877
Mailing Address - Street 1:8882 N GOVERNMENT WAY STE P
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835-9282
Mailing Address - Country:US
Mailing Address - Phone:208-254-2099
Mailing Address - Fax:
Practice Address - Street 1:8882 N GOVERNMENT WAY STE P
Practice Address - Street 2:
Practice Address - City:HAYDEN
Practice Address - State:ID
Practice Address - Zip Code:83835-9282
Practice Address - Country:US
Practice Address - Phone:208-254-2099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty