Individual provider · Type 1 NPI
Mindy Dawn Cervantes, LMT
Massage Therapist · Chubbuck, ID
NPI number
1013692276
Active
Practice location
4846 Hiram Ave
Chubbuck, ID 83202-3018
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MAS-3001 (ID) |
Massage Therapist: 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.
About NPI 1013692276
Mindy Dawn Cervantes, LMT's National Provider Identifier is 1013692276, issued on Jun 15, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Chubbuck, ID. The record was last updated on Jun 15, 2023.