Individual provider · Type 1 NPI
Susan R. Stockton, CNMT, LMT
Massage Therapist · Boise, ID
NPI number
1285665232
Active
Practice location
575 E Parkcenter Blvd Ste 190
Boise, ID 83706-6773
Mailing address
13 Red Horse Ridge Rd
Boise, ID 83716-3125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MA44626 (FL) |
| Massage Therapist | 225700000X | MT040994 (TX) |
| Massage Therapist Primary | 225700000X | MASG-218 (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 1285665232
Susan R. Stockton, CNMT, LMT's National Provider Identifier is 1285665232, issued on Jul 6, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Apr 14, 2024.