Individual provider · Type 1 NPI

Russell W. Freestone, LMT

Massage Therapist · Boise, ID

NPI number 1891235552 Active

Practice location

8700 W Winchester Dr
Boise, ID 83704-7069

Call (208) 378-1377 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMASG-2217 (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 1891235552

Russell W. Freestone, LMT's National Provider Identifier is 1891235552, issued on Feb 28, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Feb 28, 2017.