Individual provider · Type 1 NPI

Eric Deegear, LMT

Massage Therapist · Boise, ID

NPI number 1245628668 Active

Practice location

1007 N Orchard St
Boise, ID 83706-2231

Call (210) 617-3399 Map

Mailing address

1811 W Palouse St
Boise, ID 83705-3534

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000X1611 (ID)
Massage Therapist Primary 225700000X110863 (TX)

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 1245628668

Eric Deegear, LMT's National Provider Identifier is 1245628668, issued on Jan 7, 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 7, 2015.