Individual provider · Type 1 NPI

Carly Briann Sampson, LMT

Massage Therapist · Hayden, ID

NPI number 1972791556 Active

Practice location

1102 W Hayden Ave, Suite A
Hayden, ID 83835

Call (208) 620-7150 Map

Fax (208) 620-7120

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist 225700000XMA00024004 (WA)
Massage Therapist Primary 225700000XMAS4614 (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 1972791556

Carly Briann Sampson, LMT's National Provider Identifier is 1972791556, issued on Oct 9, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hayden, ID. The record was last updated on Oct 12, 2022.