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Brenda G Smith, LMT
Massage Therapist in Eagle, Idaho
NPI 1487168142

Brenda G Smith is a Massage Therapist based in Boise, ID. Brenda G Smith practices in Eagle, ID and has the professional credentials of LMT. The NPI Number for Brenda G Smith is 1487168142 and holds a License No. MASG-2220 (Idaho).

The current practice location address for Brenda G Smith is 1545 E Iron Eagle Dr Ste 103, Eagle, ID and can be reached out via phone at 208-649-4405.

Location: 1545 E Iron Eagle Dr Ste 103, Eagle, ID, 83714-9562
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487168142
Provider Name
Brenda G Smith
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1545 E Iron Eagle Dr Ste 103, Eagle, ID, 83714-9562
Phone Number
208-649-4405
Fax Number
Provider Enumeration Date
11/16/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1545 E Iron Eagle Dr Ste 103
City
Eagle
State
Idaho
Zip
83616-7079
Phone Number
208-649-4405
Fax Number
person
Provider Business Mailing Address Details
Address
1545 E Iron Eagle Dr Ste 103
City
Eagle
State
Idaho
Zip
83616-7079
Phone Number
208-649-4405
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MASG-2220 (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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