Individual provider · Type 1 NPI
Susan Marie Ball
Massage Therapist · Hayden, ID
NPI number
1548155997
Active
Practice location
1102 W Hayden Ave Ste A
Hayden, ID 83835-8700
Fax (208) 791-9109
Mailing address
12920 N Railway Ave Apt 306
Rathdrum, ID 83858-1359
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 7661770 (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.
Another provider at this address
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About NPI 1548155997
Susan Marie Ball's National Provider Identifier is 1548155997, issued on Jun 9, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hayden, ID. The record was last updated on Jun 9, 2025.