BOISE PAIN MANAGEMENT NPI 1871856047

NPI Information

BOISE PAIN MANAGEMENT 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. BOISE PAIN MANAGEMENT NPI is 1871856047. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is None.

The provider's business location address is:

8950 W EMERALD ST STE 150
BOISE, ID
ZIP 83704-296
Phone: (208) 376-4571
Fax: (208) 376-4621

The provider's authorized official is Michael Joseph Plyer .
The authorized official title is Nctmb and has the following contact phone number (208) 376-4571.

The enumeration date for this NPI number is 6/21/2012 and was last updated on 6/21/2012.

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:

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