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WHITE WILLOW MASSAGE NPI 1467859447


NPI Information

NPI: 1467859447
Provider Name: WHITE WILLOW MASSAGE
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
12708 CULTIVATOR ST
CALDWELL, ID
ZIP 83607
Phone: (208) 991-2298
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WHITE WILLOW MASSAGE is a massage therapist in Caldwell, ID. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. WHITE WILLOW MASSAGE NPI is 1467859447. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12708 CULTIVATOR ST
CALDWELL, ID
ZIP 83607-298
Phone: (208) 991-2298

The provider's authorized official is Marcella M Crane .
The authorized official title is Lmt and has the following contact phone number (208) 391-9693.

The enumeration date for this NPI number is 11/19/2014 and was last updated on 12/16/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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