person
Justin Teague Odell, LMT
Massage Therapist in Hayden, Idaho
NPI 1598376097

Justin Teague Odell is a Massage Therapist based in Hayden, ID. Justin Teague Odell practices in Hayden, ID and has the professional credentials of LMT. The NPI Number for Justin Teague Odell is 1598376097 and holds a License No. MAS-2891 (Idaho).

The current practice location address for Justin Teague Odell is 9751 N Government Way Ste 4, Hayden, ID and can be reached out via phone at 208-696-1330 and via fax at 208-684-7834.

Location: 9751 N Government Way Ste 4, Hayden, ID, 83835-9645
person
Provider Profile Details
NPI Number
1598376097
Provider Name
Justin Teague Odell
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
9751 N Government Way Ste 4, Hayden, ID, 83835-9645
Phone Number
208-696-1330
Fax Number
208-684-7834
Provider Enumeration Date
08/10/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9751 N Government Way Ste 4
City
State
Zip
83835-9645
Phone Number
208-696-1330
Fax Number
208-684-7834
person
Provider Business Mailing Address Details
Address
9751 N Government Way Ste 4
City
State
Zip
83835-9645
Phone Number
208-696-1330
Fax Number
208-684-7834
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MAS-2891 (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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