Individual provider · Type 1 NPI

Patricia Hetrick, LMT

Massage Therapist · Boise, ID

NPI number 1164812368 Active

Practice location

2300 S Orchard St, Ste. A
Boise, ID 83705-6722

Call (208) 383-1070 Map

Fax (208) 383-3702

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMASG-727 (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 1164812368

Patricia Hetrick, LMT's National Provider Identifier is 1164812368, issued on Jan 27, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Jan 28, 2015.