Individual provider · Type 1 NPI

Teleea Tawnee Lundgren, LMT, NCTMB

Massage Therapist · Moscow, ID

NPI number 1184059347 Active

Practice location

700 S Main St, Gritman Medical Center
Moscow, ID 83843-3056

Call (208) 883-1522 Map

Fax (208) 883-6452

Mailing address

557 Deer Meadow Ct
Moscow, ID 83843-9389

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMASG-1608 (ID)
Massage Therapist 225700000X13897 (OR)

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 1184059347

Teleea Tawnee Lundgren, LMT, NCTMB's National Provider Identifier is 1184059347, issued on Sep 6, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Moscow, ID. The record was last updated on Sep 6, 2013.