Individual provider · Type 1 NPI

Carley Shawn Devore, LMT

Massage Therapist · Moscow, ID

NPI number 1700673522 Active

Practice location

102 S Washington St
Moscow, ID 83843-2842

Call (208) 882-3012 Map

Mailing address

PO Box 247
Potlatch, ID 83855-0247

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X4771555 (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 1700673522

Carley Shawn Devore, LMT's National Provider Identifier is 1700673522, issued on Apr 23, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Moscow, ID. The record was last updated on Apr 23, 2025.