Individual provider · Type 1 NPI
Lisa Marie Piscopo, MASSAGE THERAPIST
Massage Therapist · Boise, ID
NPI number
1669094348
Active
Practice location
4940 E Mill Station Dr
Boise, ID 83716-8628
Mailing address
6545 E Signal Rock Dr
Boise, ID 83716-7082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MAS-3665 (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 1669094348
Lisa Marie Piscopo, MASSAGE THERAPIST's National Provider Identifier is 1669094348, issued on May 15, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on May 15, 2020.