Individual provider · Type 1 NPI
Kate Richardson, L.M.T.
Massage Therapist · Idaho Falls, ID
NPI number
1154669869
Active
Practice location
3820 Crestwood Lane
Idaho Falls, ID 83404
Mailing address
3687 E 20 N
Rigby, ID 83442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 7890249-4701 (UT) |
| Massage Therapist Primary | 225700000X | MAS-4453 (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 1154669869
Kate Richardson, L.M.T.'s National Provider Identifier is 1154669869, issued on Jan 30, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 24, 2021.