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Jade Stevens
Massage Therapist in Sandpoint, Idaho
NPI 1417504507

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. You can also correspond with Jade Stevens through the mailing address at 515 PINE ST STE G, SANDPOINT, ID - 83864-1658 (mailing address contact number: ).

Location: 515 Pine St Ste G, Sandpoint, ID, 83864-1658
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
MAS3877 01 ID LICENSED MASSAGE THERAPIST
institution
Provider Business Practice Location Address Details
Address
515 Pine St Ste G
City
Sandpoint
State
Idaho
Zip
83864-1658
Phone Number
208-575-8309
Fax Number
person
Provider Business Mailing Address Details
Address
515 Pine St Ste G
City
Sandpoint
State
Idaho
Zip
83864-1658
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
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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