Individual provider · Type 1 NPI

Tara Surprenant, LMT

Massage Therapist · Hayden, ID

NPI number 1710698212 Active

Practice location

2151 W Hayden Ave
Hayden, ID 83835-7414

Call (208) 762-6772 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS4938 (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.

13 other providers at this address

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About NPI 1710698212

Tara Surprenant, LMT's National Provider Identifier is 1710698212, issued on Dec 6, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hayden, ID. The record was last updated on Dec 6, 2022.