Jade Stevens is a Massage Therapist based in Sandpoint, ID. Jade Stevens practices in Sandpoint, ID. The NPI Number for Jade Stevens is 1417504507 and holds a License No. MAS3788 (Idaho).
The current practice location address for Jade Stevens is 515 Pine St Ste G, Sandpoint, ID and can be reached out via phone at 208-575-8309.
Location: 515 Pine St Ste G, Sandpoint, ID, 83864-1658
Provider Profile Details
NPI Number
1417504507
Provider Name
Jade Stevens
Credential
Provider Entity Type
Individual
Gender
Female
Address
515 Pine St Ste G, Sandpoint, ID, 83864-1658
Phone Number
208-575-8309
Fax Number
Provider Enumeration Date
08/22/2019
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MAS3877 | 01 | ID | LICENSED MASSAGE THERAPIST |
Provider Business Practice Location Address Details
Address
515 Pine St Ste G
City
State
Zip
83864-1658
Phone Number
208-575-8309
Fax Number
Provider Business Mailing Address Details
Address
515 Pine St Ste G
City
State
Zip
83864-1658
Phone Number
208-575-8309
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MAS3788 (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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