Organization · Type 2 NPI
Shoshone Bannock Hotel & Event Center
Massage Therapist · Fort Hall, ID
NPI number
1336872993
Active
Practice location
777 Bannock Trail
Fort Hall, ID 83203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
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.
About NPI 1336872993
Shoshone Bannock Hotel & Event Center's National Provider Identifier is 1336872993, issued on Jul 1, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Fort Hall, ID. The record was last updated on Jul 1, 2022.