Individual provider · Type 1 NPI

Matthew Demers, LMT

Massage Therapist · Eagle, ID

NPI number 1356987390 Active

Practice location

1045 S Ancona Ave Ste 140
Eagle, ID 83616-6374

Call (208) 352-3883 Map

Mailing address

172 N Sevenoaks Ave
Eagle, ID 83616-7308

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS-3262 (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 1356987390

Matthew Demers, LMT's National Provider Identifier is 1356987390, issued on Nov 25, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eagle, ID. The record was last updated on Nov 25, 2019.