Individual provider · Type 1 NPI

Lacey Nicole Bevan, L.M.T.

Massage Therapist · Pocatello, ID

NPI number 1952223356 Active

Practice location

850 E Center St Suite F
Pocatello, ID 83201-5737

Call (208) 637-9940 Map

Mailing address

1792 E Price Rd
Mccammon, ID 83250-1610

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMASG-1967 (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 1952223356

Lacey Nicole Bevan, L.M.T.'s National Provider Identifier is 1952223356, issued on Jul 28, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pocatello, ID. The record was last updated on Jul 28, 2026.