NPI 1154935302

Jaclyn Williams Cosper, LMT

Practitioner Massage Therapist Hayden, ID

Practice location

Address: 8182 N Wayne Dr STE a, Hayden, ID 83835-4918
Phone: (208) 603-0055

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MAS-4160 (ID)

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Registry record

NPI: 1154935302
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Sep 2020
Record last updated: 14 Jun 2026

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.