Tanna Susan Willis, LCMT is a massage therapist in Boise, 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. Tanna Susan Willis, LCMT NPI is 1033551015. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1529 BELMONT ST
BOISE, ID
ZIP 83725-001
Phone: (208) 426-1459
The enumeration date for this NPI number is 7/19/2013 and was last updated on 7/19/2013.