NPI 1174028328

Danika Kristan Lewis, LMT

Practitioner Massage Therapist Eagle, ID

Practice location

Address: 2305 N Eagle Creek Ln, Eagle, ID 83616-6819
Phone: (208) 761-0090

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MAS-3301 (ID)

Other Massage Therapist providers in Idaho →

Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT103802 (TX)

Registry record

NPI: 1174028328
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2018
Record last updated: 29 Mar 2018

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.