Individual provider · Type 1 NPI
Diana Reyes
Massage Therapist · Eagle, ID
NPI number
1578284592
Active
Practice location
82 E State St Ste D
Eagle, ID 83616-6048
Mailing address
19881 Adirondack Way
Caldwell, ID 83605-8053
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MAS-2679 (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 1578284592
Diana Reyes's National Provider Identifier is 1578284592, issued on Sep 7, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eagle, ID. The record was last updated on Sep 7, 2022.