Individual provider · Type 1 NPI
Kalyn C. Mauk, CMT
Massage Therapist · Boise, ID
NPI number
1154613198
Active
Practice location
2366 N Raymond St
Boise, ID 83704-7518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 110099 (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 1154613198
Kalyn C. Mauk, CMT's National Provider Identifier is 1154613198, issued on May 10, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Jul 31, 2013.