Individual provider · Type 1 NPI

Erika Smollack, LMT

Massage Therapist · Meridian, ID

NPI number 1063970820 Active

Practice location

2857 S Meridian Rd Ste 100
Meridian, ID 83642-7960

Fax (208) 884-1508

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS3697 (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.

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About NPI 1063970820

Erika Smollack, LMT's National Provider Identifier is 1063970820, issued on Mar 11, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Meridian, ID. The record was last updated on Mar 11, 2019.