Individual provider · Type 1 NPI

Rebecca A. Park, LMT, NCTMB

Massage Therapist · Driggs, ID

NPI number 1881092955 Active

Practice location

500 E Ski Hill Rd
Driggs, ID 83422

Mailing address

10175 Snowy Ln
Tetonia, ID 83452-4962

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMASG-235 (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 1881092955

Rebecca A. Park, LMT, NCTMB's National Provider Identifier is 1881092955, issued on Dec 5, 2014. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Driggs, ID. The record was last updated on Dec 5, 2014.