Individual provider · Type 1 NPI

Gloria Louise Whitman, LMP

Massage Therapist · Coeur D Alene, ID

NPI number 1518201565 Active

Practice location

3516 N Government Way
Coeur D Alene, ID 83815-8303

Call (208) 966-4397 Map

Mailing address

615 E Opal Dr
Hayden, ID 83835-9494

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X36378 (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 1518201565

Gloria Louise Whitman, LMP's National Provider Identifier is 1518201565, issued on Nov 15, 2012. 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 Nov 15, 2012.