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Adelaida Mahler, LMT
Massage Therapist in Ponderay, Idaho
NPI 1023606712

Adelaida Mahler is a Massage Therapist based in Ponderay, ID. Adelaida Mahler practices in Ponderay, ID and has the professional credentials of LMT. The NPI Number for Adelaida Mahler is 1023606712 and holds a License No. MASG-2050 (Idaho).

The current practice location address for Adelaida Mahler is 30544 Highway 200 Ste 326, Ponderay, ID and can be reached out via phone at 208-205-9559.

Location: 30544 Highway 200 Ste 326, Ponderay, ID, 83852-5042
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023606712
Provider Name
Adelaida Mahler
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
30544 Highway 200 Ste 326, Ponderay, ID, 83852-5042
Phone Number
208-205-9559
Fax Number
Provider Enumeration Date
01/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MSAG-2050 01 ID LMT
institution
Provider Business Practice Location Address Details
Address
30544 Highway 200 Ste 326
City
Ponderay
State
Idaho
Zip
83852-5042
Phone Number
208-205-9559
Fax Number
person
Provider Business Mailing Address Details
Address
30544 Highway 200 Ste 326
City
Ponderay
State
Idaho
Zip
83852-5042
Phone Number
208-205-9559
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MASG-2050 (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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