MISS MIRANDA MCBROOM NPI 1952789026

NPI Information

NPI: 1952789026
Provider Name: MISS MIRANDA MCBROOM
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1150 W STATE ST
220
BOISE, ID
ZIP 83702
Phone: (541) 519-7478
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MISS Miranda Mcbroom 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. MISS Miranda Mcbroom NPI is 1952789026. 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:

1150 W STATE ST
220
BOISE, ID
ZIP 83702-327
Phone: (541) 519-7478

The enumeration date for this NPI number is 5/11/2015 and was last updated on 5/11/2015.

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-2393	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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