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Autumn Lukezech
Massage Therapist in Sandpoint, Idaho
NPI 1134638521

Autumn Lukezech is a Massage Therapist based in Sandpoint, ID. Autumn Lukezech practices in Sandpoint, ID. The NPI Number for Autumn Lukezech is 1134638521 and holds a License No. MAS-2902 (Idaho).

The current practice location address for Autumn Lukezech is 102 S Euclid Ave Ste 111, Sandpoint, ID and can be reached out via phone at 512-516-9144. You can also correspond with Autumn Lukezech through the mailing address at 33071 HIGHWAY 200, SANDPOINT, ID - 83864-9066 (mailing address contact number: 512-516-9144).

Location: 102 S Euclid Ave Ste 111, Sandpoint, ID, 83864-9066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134638521
Provider Name
Autumn Lukezech
Credential
Provider Entity Type
Individual
Gender
Female
Address
102 S Euclid Ave Ste 111, Sandpoint, ID, 83864-9066
Phone Number
512-516-9144
Fax Number
Provider Enumeration Date
09/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
102 S Euclid Ave Ste 111
City
Sandpoint
State
Idaho
Zip
83864-4916
Phone Number
512-516-9144
Fax Number
person
Provider Business Mailing Address Details
Address
33071 Highway 200
City
Sandpoint
State
Idaho
Zip
83864-9066
Phone Number
512-516-9144
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-2902 (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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