Individual provider · Type 1 NPI

Amanda Goulart

Massage Therapist · Coeur D Alene, ID

NPI number 1073987079 Active

Practice location

1042 W Mill Ave Ste 104
Coeur D Alene, ID 83814-2489

Call (208) 659-6526 Map

Mailing address

2819 N Julia St Apt C305
Coeur D Alene, ID 83815-5250

Specialties and licenses

Taxonomy	Code	License
Massage Therapist Primary	225700000X	MAS-499 (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.

Another provider at this address

Freedom Counseling, PLLCMental Health Clinic/Center (Including Community Mental Health Center) Coeur D Alene, ID NPI 1518628296

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About NPI 1073987079

Amanda Goulart's National Provider Identifier is 1073987079, issued on Nov 14, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Nov 14, 2015.