Individual provider · Type 1 NPI

Dwight Dansereau

Massage Therapist · Coeur D Alene, ID

NPI number 1326441445 Active

Practice location

1319 N Government Way
Coeur D Alene, ID 83814-3252

Call (208) 667-3813 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMASG-664 (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 1326441445

Dwight Dansereau's National Provider Identifier is 1326441445, issued on Oct 2, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Oct 2, 2014.