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Scott Glenn Hawker, CMT,MMT
Massage Therapist in Blackfoot, Idaho
NPI 1205053261

Scott Glenn Hawker is a Massage Therapist based in Blackfoot, ID. Scott Glenn Hawker practices in Blackfoot, ID and has the professional credentials of CMT,MMT. The NPI Number for Scott Glenn Hawker is 1205053261 and holds a License No. (Idaho).

The current practice location address for Scott Glenn Hawker is 285 W Francis St, Blackfoot, ID and can be reached out via phone at 208-785-0123 and via fax at 208-782-1885.

Location: 285 W Francis St, Blackfoot, ID, 83221-6061
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205053261
Provider Name
Scott Glenn Hawker
Credential
CMT,MMT
Provider Entity Type
Individual
Gender
Male
Address
285 W Francis St, Blackfoot, ID, 83221-6061
Phone Number
208-785-0123
Fax Number
208-782-1885
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
285 W Francis St
City
Blackfoot
State
Idaho
Zip
83221-1751
Phone Number
208-785-0123
Fax Number
208-782-1885
person
Provider Business Mailing Address Details
Address
285 W Francis St
City
Blackfoot
State
Idaho
Zip
83221-1751
Phone Number
208-785-0123
Fax Number
208-782-1885
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
(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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