Individual provider · Type 1 NPI
Amy Payne, LMT, CMT, BCTMB
Massage Therapist · Stateline, NV
NPI number
1093184459
Active
Practice location
301 Highway 50
Stateline, NV 89449
Mailing address
1143 Lone Indian Trl
South Lake Tahoe, CA 96150-4521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 5714 (NV) |
| Massage Therapist | 225700000X | 34542 (CA) |
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 1093184459
Amy Payne, LMT, CMT, BCTMB's National Provider Identifier is 1093184459, issued on Sep 16, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Stateline, NV. The record was last updated on Sep 16, 2015.