Individual provider · Type 1 NPI

Jessica Kowallis

Massage Therapist · Boise, ID

NPI number 1295137883 Active

Practice location

1740 N Milwaukee St Ste B
Boise, ID 83704-7107

Call (208) 377-9500 Map

Fax (208) 377-8449

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMASG-2110 (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 1295137883

Jessica Kowallis's National Provider Identifier is 1295137883, issued on Sep 25, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Sep 25, 2014.