person
Tanna Susan Willis, LCMT
Student Health Clinic/Center in Boise, Idaho
NPI 1033551015

Tanna Susan Willis is a Student Health Clinic/Center based in Boise, ID and is specialized in Student Health. Tanna Susan Willis practices in Boise, ID and has the professional credentials of LCMT. The NPI Number for Tanna Susan Willis is 1033551015 and holds a License No. MAS-732 (Idaho).

The current practice location address for Tanna Susan Willis is 1529 Belmont St, Boise, ID and can be reached out via phone at 208-426-1459.

Location: 1529 Belmont St, Boise, ID, 83725-1351
person
Provider Profile Details
NPI Number
1033551015
Provider Name
Tanna Susan Willis
Credential
LCMT
Provider Entity Type
Individual
Gender
Female
Address
1529 Belmont St, Boise, ID, 83725-1351
Phone Number
208-426-1459
Fax Number
Provider Enumeration Date
07/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1529 Belmont St
City
State
Zip
83725-0001
Phone Number
208-426-1459
Fax Number
person
Provider Business Mailing Address Details
Address
1529 Belmont St
City
State
Zip
83725-0001
Phone Number
208-426-1459
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
820290701 (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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
License No.
MAS-732 (Idaho)
Definition
Definition to come...
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