Individual provider · Type 1 NPI
Blair William Mattson, LMT
Massage Therapist · Driggs, ID
NPI number
1629498183
Active
Practice location
45 E Little Ave
Driggs, ID 83422-5138
Mailing address
PO Box 1043
Victor, ID 83455-1031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MAS909 (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.
Other massage therapist providers in Driggs
About NPI 1629498183
Blair William Mattson, LMT's National Provider Identifier is 1629498183, issued on Apr 23, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Driggs, ID. The record was last updated on Apr 23, 2014.