Individual provider · Type 1 NPI
Dominique Tardif, LMT
Massage Therapist · Boise, ID
NPI number
1821462987
Active
Practice location
413 W Idaho St Ste 202
Boise, ID 83702-6065
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MASG-775 (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 1821462987
Dominique Tardif, LMT's National Provider Identifier is 1821462987, issued on Nov 30, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Oct 21, 2020.