person
Carolyn P Brainard, LMP
Massage Therapist in Hayden, Idaho
NPI 1609967090

Carolyn P Brainard is a Massage Therapist based in Coeur D Alene, ID. Carolyn P Brainard practices in Hayden, ID and has the professional credentials of LMP. The NPI Number for Carolyn P Brainard is 1609967090 and holds a License No. MA00012404 (Idaho).

The current practice location address for Carolyn P Brainard is 1172 W Hayden Ave, Hayden, ID and can be reached out via phone at 208-762-3332 and via fax at 208-762-4268. You can also correspond with Carolyn P Brainard through the mailing address at 1917 N LAKEWOOD DR, COEUR D ALENE, ID - 83814-2634 (mailing address contact number: 208-664-8194).

Location: 1172 W Hayden Ave, Hayden, ID, 83814-2634
person
Provider Profile Details
NPI Number
1609967090
Provider Name
Carolyn P Brainard
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
1172 W Hayden Ave, Hayden, ID, 83814-2634
Phone Number
208-762-3332
Fax Number
208-762-4268
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1172 W Hayden Ave
City
State
Zip
83835-8700
Phone Number
208-762-3332
Fax Number
208-762-4268
person
Provider Business Mailing Address Details
Address
1172 W Hayden Ave
City
State
Zip
83835-8700
Phone Number
208-762-3332
Fax Number
208-762-4268
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MA00012404 (Washington)
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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