NPI 1033631387

Tammy Marie Mac

Practitioner Massage Therapist Coeur D Alene, ID

Practice location

Address: 850 W Ironwood Dr STE 302, Coeur D Alene, ID 83814-4903
Phone: (208) 664-5225
Mailing address: 850 W Ironwood Dr # Dr302, Coeur D Alene, ID 83814-4903

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MAS-2984 (ID)

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Registry record

NPI: 1033631387
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Jul 2017
Record last updated: 7 Jul 2017

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.