Individual provider · Type 1 NPI

Deborah Diane Wade, LMT

Massage Therapist · Mccall, ID

NPI number 1124725825 Active

Practice location

331 Deinhard Ln
Mccall, ID 83638-4703

Call (208) 315-0863 Map

Mailing address

PO Box 2925
Mccall, ID 83638-2925

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X4344 (KY)
Massage Therapist 225700000X23763 (CO)
Massage Therapist Primary 225700000XMAS-4463 (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 1124725825

Deborah Diane Wade, LMT's National Provider Identifier is 1124725825, issued on Feb 13, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mccall, ID. The record was last updated on Feb 13, 2023.