Misty Lake, LMT is a massage therapist in Post Falls, 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. Misty Lake, LMT NPI is 1134667058. 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:
105 E 10TH AVE
POST FALLS, ID
ZIP 83854-125
Phone: (208) 425-6891
The enumeration date for this NPI number is 2/11/2017 and was last updated on 2/11/2017.