NPI 1912593674

Melissa Gardner, LMT

Practitioner Massage Therapist Emmett, ID

Practice location

Address: 518 S Washington Ave, Emmett, ID 83617-3523
Phone: (208) 365-2024
Fax: (208) 365-2046

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Registry record

NPI: 1912593674
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Dec 2020
Record last updated: 16 Dec 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.