Individual provider · Type 1 NPI

Cailen Mae Newcomb, LMT

Massage Therapist · Boise, ID

NPI number 1730885641 Active

Practice location

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

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 1730885641

Cailen Mae Newcomb, LMT's National Provider Identifier is 1730885641, issued on Feb 2, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Feb 2, 2023.