Individual provider · Type 1 NPI
Tyler James Pincock, BS, LMT
Massage Therapist · Idaho Falls, ID
NPI number
1992294565
Active
Practice location
1110 S Boulevard
Idaho Falls, ID 83402-4033
Mailing address
1125 Hemlock St
Idaho Falls, ID 83401-2914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MAS-2570 (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 1992294565
Tyler James Pincock, BS, LMT's National Provider Identifier is 1992294565, issued on May 9, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Idaho Falls, ID. The record was last updated on May 9, 2018.