Individual provider · Type 1 NPI
Jennifer Stroud, LMT
Massage Therapist · Boise, ID
NPI number
1265978092
Active
Practice location
303 S Federal Way
Boise, ID 83705-5925
Mailing address
809 S Harding St
Boise, ID 83705-5809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MAS-2649 (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 1265978092
Jennifer Stroud, LMT's National Provider Identifier is 1265978092, issued on Jan 18, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Jan 18, 2017.