Individual provider · Type 1 NPI
Susan McClellan, MASG-897
Massage Therapist · Spirit Lake, ID
NPI number
1083003263
Active
Practice location
5868 W. Massachusetts St
Spirit Lake, ID 83869-1173
Mailing address
PO Box 1173, 5868 W. Massachusetts St
Spirit Lake, ID 83869-1173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MASG-897 (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.
Other massage therapist providers in Spirit Lake
About NPI 1083003263
Susan McClellan, MASG-897's National Provider Identifier is 1083003263, issued on Jan 12, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Spirit Lake, ID. The record was last updated on Jan 12, 2015.