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Mindy Dawn Cervantes, LMT
Massage Therapist in Chubbuck, Idaho
NPI 1013692276

Mindy Dawn Cervantes is a Massage Therapist based in Chubbuck, ID. Mindy Dawn Cervantes practices in Chubbuck, ID and has the professional credentials of LMT. The NPI Number for Mindy Dawn Cervantes is 1013692276 and holds a License No. MAS-3001 (Idaho).

The current practice location address for Mindy Dawn Cervantes is 4846 Hiram Ave, Chubbuck, ID and can be reached out via phone at 435-580-9461.

Location: 4846 Hiram Ave, Chubbuck, ID, 83202-3018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013692276
Provider Name
Mindy Dawn Cervantes
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
4846 Hiram Ave, Chubbuck, ID, 83202-3018
Phone Number
435-580-9461
Fax Number
Provider Enumeration Date
06/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4846 Hiram Ave
City
Chubbuck
State
Idaho
Zip
83202-3018
Phone Number
435-580-9461
Fax Number
person
Provider Business Mailing Address Details
Address
4846 Hiram Ave
City
Chubbuck
State
Idaho
Zip
83202-3018
Phone Number
435-580-9461
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MAS-3001 (Idaho)
Definition
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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