Individual provider · Type 1 NPI

Beven Jean Rich, ATC, MT

Massage Therapist · Hayden, ID

NPI number 1437212172 Active

Practice location

1172 W Hayden Ave
Hayden, ID 83835-8700

Mailing address

14222 W Coeur Dalene Dr
Spirit Lake, ID 83869-8732

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XAT-217 (ID)
Massage Therapist Primary 225700000XNone 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.

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About NPI 1437212172

Beven Jean Rich, ATC, MT's National Provider Identifier is 1437212172, issued on Dec 17, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hayden, ID. The record was last updated on Sep 11, 2025.