Individual provider · Type 1 NPI
Rose Morningstar, LICENSED MASSAGE THE
Massage Therapist · Hayden, ID
NPI number
1619035623
Active
Practice location
2151 W. Hayden Ave
Hayden, ID 83835
Fax (208) 762-6773
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | MA000011941 (WA) |
| Massage Therapist Primary | 225700000X | MA00011941 (WA) |
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 1619035623
Rose Morningstar, LICENSED MASSAGE THE's National Provider Identifier is 1619035623, issued on Dec 4, 2006. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hayden, ID. The record was last updated on Nov 9, 2012.