NPI 1275305302

Andrew Nelson, LMT

Practitioner Massage Therapist Ponderay, ID

Practice location

Address: 30544 Highway 200 STE 326, Ponderay, ID 83852-5042
Phone: (208) 205-9559
Mailing address: PO Box 85, Hope, ID 83836-0085

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MAS-5206 (ID)

Other Massage Therapist providers in Idaho →

Registry record

NPI: 1275305302
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Oct 2023
Record last updated: 23 Oct 2023

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.