Individual provider · Type 1 NPI

Kathryn Ashley Datkuliak, LMT

Massage Therapist · Lewiston, ID

NPI number 1922877117 Active

Practice location

511 Thain Rd
Lewiston, ID 83501-5530

Call (208) 816-9036 Map

Mailing address

312 17th Ave
Lewiston, ID 83501-2767

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMAS-5075 (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 1922877117

Kathryn Ashley Datkuliak, LMT's National Provider Identifier is 1922877117, issued on Dec 28, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Lewiston, ID. The record was last updated on Dec 28, 2023.