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

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00011715 (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.

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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.