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

TaxonomyCodeLicense
Massage Therapist Primary 225700000X08-002760 (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.