Individual provider · Type 1 NPI

Brenda G. Smith, LMT

Massage Therapist · Eagle, ID

NPI number 1487168142 Active

Practice location

1545 E Iron Eagle Dr Ste 103
Eagle, ID 83616-7079

Call (208) 649-4405 Map

Mailing address

10633 N Sagecrest Pl
Boise, ID 83714-9562

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMASG-2220 (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 1487168142

Brenda G. Smith, LMT's National Provider Identifier is 1487168142, issued on Nov 16, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eagle, ID. The record was last updated on Nov 16, 2017.