Individual provider · Type 1 NPI

Danika Kristan Lewis, LMT

Massage Therapist · Eagle, ID

NPI number 1174028328 Active

Practice location

2305 N Eagle Creek Ln
Eagle, ID 83616-6819

Call (208) 761-0090 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMT103802 (TX)
Massage Therapist Primary 225700000XMAS-3301 (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 1174028328

Danika Kristan Lewis, LMT's National Provider Identifier is 1174028328, issued on Mar 29, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eagle, ID. The record was last updated on Mar 29, 2018.