Individual provider · Type 1 NPI

Bethaney Clark, LMT

Massage Therapist · Boise, ID

NPI number 1669130365 Active

Practice location

3350 W Americana Ter Ste 360-I
Boise, ID 83706-2521

Call (208) 695-7585 Map

Mailing address

3503 W Alpine St
Boise, ID 83705-1526

Other practice locations

  • 1965 S Eagle Rd, Meridian, ID 83642-9288 · (208) 695-7585

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS-4466 (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 1669130365

Bethaney Clark, LMT's National Provider Identifier is 1669130365, issued on Nov 30, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Dec 7, 2022.