person
Misty Lake, LMT
Massage Therapist in Post Falls, Idaho
NPI 1134667058

Misty Lake is a Massage Therapist based in Post Falls, ID. Misty Lake practices in Post Falls, ID and has the professional credentials of LMT. The NPI Number for Misty Lake is 1134667058 and holds a License No. MAS-2923 (Idaho).

The current practice location address for Misty Lake is 105 E 10Th Ave, Post Falls, ID and can be reached out via phone at 208-425-6891. You can also correspond with Misty Lake through the mailing address at 105 E 10TH AVE, POST FALLS, ID - 83854-5125 (mailing address contact number: 208-425-6891).

Location: 105 E 10Th Ave, Post Falls, ID, 83854-5125
person
Provider Profile Details
NPI Number
1134667058
Provider Name
Misty Lake
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
105 E 10Th Ave, Post Falls, ID, 83854-5125
Phone Number
208-425-6891
Fax Number
Provider Enumeration Date
02/11/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
105 E 10Th Ave
City
State
Zip
83854-5125
Phone Number
208-425-6891
Fax Number
person
Provider Business Mailing Address Details
Address
105 E 10Th Ave
City
State
Zip
83854-5125
Phone Number
208-425-6891
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MAS-2923 (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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