Individual provider · Type 1 NPI
Katia Hope Ryan, LMT
Massage Therapist · Mackay, ID
NPI number
1104338391
Active
Practice location
815 W Custer Rd
Mackay, ID 83251-5003
Mailing address
PO Box 306
Mackay, ID 83251-0306
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MT-07056 (AZ) |
| Massage Therapist Primary | 225700000X | MAS-1700 (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.
About NPI 1104338391
Katia Hope Ryan, LMT's National Provider Identifier is 1104338391, issued on Oct 28, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mackay, ID. The record was last updated on Oct 28, 2017.