Individual provider · Type 1 NPI

Roger Lee Randall

Massage Therapist · Boise, ID

NPI number 1710617865 Active

Practice location

960 S Broadway Ave Ste 200
Boise, ID 83706-3667

Call (208) 433-9211 Map

Mailing address

16083 SW Upper Boones Ferry Rd Ste 300
Portland, OR 97224-7736

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1710617865

Roger Lee Randall's National Provider Identifier is 1710617865, issued on Jun 13, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Jun 13, 2022.