Individual provider · Type 1 NPI

Gloria Star Jensen, MANUAL THERAPIST

Massage Therapist · Priest River, ID

NPI number 1093456345 Active

Practice location

50 Main St
Priest River, ID 83856-6758

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS-291 (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 1093456345

Gloria Star Jensen, MANUAL THERAPIST's National Provider Identifier is 1093456345, issued on Apr 1, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Priest River, ID. The record was last updated on Apr 1, 2022.