Individual provider · Type 1 NPI

Melissa Gardner, LMT

Massage Therapist · Emmett, ID

NPI number 1912593674 Active

Practice location

518 S Washington Ave
Emmett, ID 83617-3523

Fax (208) 365-2046

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XNone listed

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 1912593674

Melissa Gardner, LMT's National Provider Identifier is 1912593674, issued on Dec 16, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Emmett, ID. The record was last updated on Dec 16, 2020.