person
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.

Location: 102 S Euclid Ave Ste 111, Sandpoint, ID, 83864-9066
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
State
Zip
83864-4916
Phone Number
512-516-9144
Fax Number
person
Provider Business Mailing Address Details
Address
102 S Euclid Ave Ste 111
City
State
Zip
83864-4916
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
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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