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Andrew Nelson, LMT
Massage Therapist in Ponderay, Idaho
NPI 1275305302

Andrew Nelson is a Massage Therapist based in Hope, ID. Andrew Nelson practices in Ponderay, ID and has the professional credentials of LMT. The NPI Number for Andrew Nelson is 1275305302 and holds a License No. MAS-5206 (Idaho).

The current practice location address for Andrew Nelson is 30544 Highway 200 Ste 326, Ponderay, ID and can be reached out via phone at 208-205-9559.

Location: 30544 Highway 200 Ste 326, Ponderay, ID, 83836-0085
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275305302
Provider Name
Andrew Nelson
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
30544 Highway 200 Ste 326, Ponderay, ID, 83836-0085
Phone Number
208-205-9559
Fax Number
Provider Enumeration Date
10/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30544 Highway 200 Ste 326
City
Ponderay
State
Idaho
Zip
83852-5042
Phone Number
208-205-9559
Fax Number
person
Provider Business Mailing Address Details
Address
30544 Highway 200 Ste 326
City
Ponderay
State
Idaho
Zip
83852-5042
Phone Number
208-205-9559
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-5206 (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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