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Roberta Ann Groth, LMT
Massage Therapist in Nampa, Idaho
NPI 1699250084

Roberta Ann Groth is a Massage Therapist based in Nampa, ID. Roberta Ann Groth practices in Nampa, ID and has the professional credentials of LMT. The NPI Number for Roberta Ann Groth is 1699250084 and holds a License No. MASG-1782 (Idaho).

The current practice location address for Roberta Ann Groth is 430 W Iowa Ave Ste A, Nampa, ID and can be reached out via phone at 208-870-6658. You can also correspond with Roberta Ann Groth through the mailing address at 430 W IOWA AVE STE A, NAMPA, ID - 83686-2826 (mailing address contact number: 208-870-6658).

Location: 430 W Iowa Ave Ste A, Nampa, ID, 83686-2826
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699250084
Provider Name
Roberta Ann Groth
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
430 W Iowa Ave Ste A, Nampa, ID, 83686-2826
Phone Number
208-870-6658
Fax Number
Provider Enumeration Date
10/01/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MASG-1782 01 ID IDAHO BUREAU OF OCCUPATIONAL LICENSES
institution
Provider Business Practice Location Address Details
Address
430 W Iowa Ave Ste A
City
Nampa
State
Idaho
Zip
83686-2826
Phone Number
208-870-6658
Fax Number
person
Provider Business Mailing Address Details
Address
430 W Iowa Ave Ste A
City
Nampa
State
Idaho
Zip
83686-2826
Phone Number
208-870-6658
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-1782 (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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