Individual provider · Type 1 NPI

Jessica Lopez

Massage Therapist · Eagle, ID

NPI number 1871979849 Active

Practice location

150 E Riverside Dr, Suite 100
Eagle, ID 83616-6087

Call (208) 938-3511 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMASG-1311 (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 1871979849

Jessica Lopez's National Provider Identifier is 1871979849, issued on Jul 31, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Eagle, ID. The record was last updated on Jul 31, 2015.