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

TaxonomyCodeLicense
Massage Therapist 225700000XMA44626 (FL)
Massage Therapist 225700000XMT040994 (TX)
Massage Therapist Primary 225700000XMASG-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.