Individual provider · Type 1 NPI
Mary Lucia Butler, LMP
Massage Therapist · Lewiston, ID
NPI number
1750672952
Active
Practice location
1018 Idaho St
Lewiston, ID 83501-1938
Mailing address
3130 4th Street D
Lewiston, ID 83501-4342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MA00011715 (WA) |
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.
Another provider at this address
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About NPI 1750672952
Mary Lucia Butler, LMP's National Provider Identifier is 1750672952, issued on Apr 22, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lewiston, ID. The record was last updated on Apr 22, 2011.