Individual provider · Type 1 NPI
Staci Leanne Truby
Massage Therapist · Lewiston, ID
NPI number
1912290388
Active
Practice location
717 'd' Street
Lewiston, ID 83501
Fax (208) 743-2803
Mailing address
416 3rd Street
Lewiston, ID 83501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | 08-002760 (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 1912290388
Staci Leanne Truby's National Provider Identifier is 1912290388, issued on May 18, 2011. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lewiston, ID. The record was last updated on May 18, 2011.