NPI 1063842888

Raelene Ann Bishop, LMT

Practitioner Massage Therapist Idaho Falls, ID

Practice location

Address: 671 S Woodruff Ave, Idaho Falls, ID 83401-5596
Phone: (208) 552-2584
Fax: (208) 529-3992

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MASG-1672 (ID)

Other Massage Therapist providers in Idaho →

Registry record

NPI: 1063842888
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Nov 2013
Record last updated: 14 Nov 2013

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.