Individual provider · Type 1 NPI

Kendall Minerich Lutz

Massage Therapist · Boise, ID

NPI number 1073909107 Active

Practice location

2128 N 15th St
Boise, ID 83702-1117

Call (208) 720-5112 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS-2452 (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 1073909107

Kendall Minerich Lutz's National Provider Identifier is 1073909107, issued on Apr 15, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Apr 15, 2015.