NPI 1083274674

Lila M Witter, LMT

Practitioner Massage Therapist Moscow, ID

Practice location

Address: 872 Troy Rd STE 170, Moscow, ID 83843-4046
Phone: (208) 892-6506
Fax: (509) 334-6768
Mailing address: 1256 SE Bishop Blvd STE J, Pullman, WA 99163-5414

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MAS3163 (ID)

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Registry record

NPI: 1083274674
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2019
Record last updated: 17 Jun 2019

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.