JESSICA LOPEZ NPI 1871979849

NPI Information

NPI: 1871979849
Provider Name: JESSICA LOPEZ
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
150 E RIVERSIDE DR
SUITE 100
EAGLE, ID
ZIP 83616
Phone: (208) 938-3511
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Jessica Lopez is a massage therapist in Eagle, 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. Jessica Lopez NPI is 1871979849. 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:

150 E RIVERSIDE DR
SUITE 100
EAGLE, ID
ZIP 83616-087
Phone: (208) 938-3511

The enumeration date for this NPI number is 7/31/2015 and was last updated on 7/31/2015.

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		MASG-1311	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: 5/5/2024

NPI Synchronization or Removal

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