NPI 1023872603

Cody a Harrison, LMT

Practitioner Massage Therapist Emmett, ID

Practice location

Address: 2007 E Quail Run Rd, STE 2, Emmett, ID 83617
Phone: (208) 365-2024
Mailing address: 4004 Sandy Ave, Emmett, ID 83617

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MAS-5277 (ID)

Other Massage Therapist providers in Idaho →

Registry record

NPI: 1023872603
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Feb 2024
Record last updated: 13 Feb 2024

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.