Whalio Doctors

NPI 1083245377

Jill Lynn Lawrence, LMT

Practitioner Massage Therapist Moscow, ID

Practice location

Address
700 S Main St, Moscow, ID 83843-3056
Phone
(208) 883-4104
Mailing address
700 S Main St, Moscow, ID 83843-3046

Registered specialties

Massage Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MAS-52 (ID)

Registry record

NPI
1083245377
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Jan 2020
Record last updated
27 Jan 2020

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.