Individual provider · Type 1 NPI

Ana Pena, MMP, LMT

Massage Therapist · Pocatello, ID

NPI number 1609162031 Active

Practice location

420 W Lewis St
Pocatello, ID 83204-3218

Call (208) 233-2502 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X322057-4701 (UT)

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 1609162031

Ana Pena, MMP, LMT's National Provider Identifier is 1609162031, issued on Jun 23, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pocatello, ID. The record was last updated on Jun 23, 2011.