NPI 1023606712

Adelaida Mahler, LMT

Practitioner Massage Therapist Ponderay, ID

Practice location

Address: 30544 Highway 200 STE 326, Ponderay, ID 83852-5042
Phone: (208) 205-9559

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MASG-2050 (ID)

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Registry record

NPI: 1023606712
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jan 2021
Record last updated: 7 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.