Individual provider · Type 1 NPI

Marshall Blake Coleman, LMT

Massage Therapist · Boise, ID

NPI number 1760156764 Active

Practice location

1550 S Cloverdale Rd Ste 103
Boise, ID 83709-1128

Call (208) 867-5222 Map

Mailing address

11761 Penobscot St
Caldwell, ID 83605-5777

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS-3946 (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.

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About NPI 1760156764

Marshall Blake Coleman, LMT's National Provider Identifier is 1760156764, issued on Aug 3, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Aug 3, 2021.