NPI age
5 years
Enumerated 2020-06-07
Across 798 active massage therapist providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | MASG-1681 | REIMBURSEMENT |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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