DOMINIQUE TARDIF LMT NPI 1821462987

NPI Information

NPI: 1821462987
Provider Name: DOMINIQUE TARDIF, LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
413 W IDAHO ST STE 202
BOISE, ID
ZIP 83702
Phone: (208) 781-0452
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Dominique Tardif, LMT 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. Dominique Tardif, LMT NPI is 1821462987. 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:

413 W IDAHO ST STE 202
BOISE, ID
ZIP 83702-065
Phone: (208) 781-0452

The enumeration date for this NPI number is 11/30/2015 and was last updated on 10/21/2020.

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		MASG-775	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MASG775	OTHER	IDAHO	LICENSE

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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