Individual provider · Type 1 NPI

Heather Randall, LMT

Massage Therapist · Sandpoint, ID

NPI number 1609517499 Active

Practice location

1013 Lake St Ste 100
Sandpoint, ID 83864-5002

Mailing address

34 Skyranch Dr
Sandpoint, ID 83864-7524

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS-4722 (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 1609517499

Heather Randall, LMT's National Provider Identifier is 1609517499, issued on Apr 5, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sandpoint, ID. The record was last updated on Apr 5, 2022.