person
Tara Surprenant, LMT
Massage Therapist in Hayden, Idaho
NPI 1710698212

Tara Surprenant is a Massage Therapist based in Hayden, ID. Tara Surprenant practices in Hayden, ID and has the professional credentials of LMT. The NPI Number for Tara Surprenant is 1710698212 and holds a License No. MAS4938 (Idaho).

The current practice location address for Tara Surprenant is 2151 W Hayden Ave, Hayden, ID and can be reached out via phone at 208-762-6772.

Location: 2151 W Hayden Ave, Hayden, ID, 83835-7414
person
Provider Profile Details
NPI Number
1710698212
Provider Name
Tara Surprenant
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
2151 W Hayden Ave, Hayden, ID, 83835-7414
Phone Number
208-762-6772
Fax Number
Provider Enumeration Date
12/06/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2151 W Hayden Ave
City
State
Zip
83835-7414
Phone Number
208-762-6772
Fax Number
person
Provider Business Mailing Address Details
Address
2151 W Hayden Ave
City
State
Zip
83835-7414
Phone Number
208-762-6772
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MAS4938 (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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