Individual provider · Type 1 NPI

Elizabeth Ada Shakespeare, LMT

Massage Therapist · Boise, ID

NPI number 1669835864 Active

Practice location

760 E Warm Springs Ave, Ste G
Boise, ID 83712-6476

Call (208) 901-0511 Map

Mailing address

760 E Warm Springs Ave Ste G
Boise, ID 83712-6459

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMASG-2334 (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 1669835864

Elizabeth Ada Shakespeare, LMT's National Provider Identifier is 1669835864, issued on Apr 4, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Apr 4, 2016.