KENDALL MINERICH LUTZ NPI 1073909107

NPI Information

NPI: 1073909107
Provider Name: KENDALL MINERICH LUTZ
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
2128 N 15TH ST
BOISE, ID
ZIP 83702
Phone: (208) 720-5112
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Kendall Minerich Lutz 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. Kendall Minerich Lutz NPI is 1073909107. 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:

2128 N 15TH ST
BOISE, ID
ZIP 83702-117
Phone: (208) 720-5112

The enumeration date for this NPI number is 4/15/2015 and was last updated on 4/15/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MAS-2452	IDAHO	Yes

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

NPI Synchronization or Removal

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