Individual provider · Type 1 NPI
Adam Douglas Deluca, LMT
Massage Therapist · Coeur D Alene, ID
NPI number
1356099733
Active
Practice location
1104 N 4th St Unit B
Coeur D Alene, ID 83814-3217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MAS-3813 (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 1356099733
Adam Douglas Deluca, LMT's National Provider Identifier is 1356099733, issued on Mar 14, 2022. 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 Mar 14, 2022.