Individual provider · Type 1 NPI

Desiree Jerome, LMT

Massage Therapist · Boise, ID

NPI number 1790652709 Active

Practice location

1319 W River St
Boise, ID 83702-6857

Call (208) 365-8154 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMASG-237 (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 1790652709

Desiree Jerome, LMT's National Provider Identifier is 1790652709, issued on Oct 22, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Oct 22, 2025.