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Elizabeth Davenport, LMT
Massage Therapist in Malta, Idaho
NPI 1750963328

Elizabeth Davenport is a Massage Therapist based in Malta, ID. Elizabeth Davenport practices in Malta, ID and has the professional credentials of LMT. The NPI Number for Elizabeth Davenport is 1750963328 and holds a License No. MA3224 (Idaho).

The current practice location address for Elizabeth Davenport is 1503 E Highway 77, Malta, ID and can be reached out via phone at 208-406-6420.

Location: 1503 E Highway 77, Malta, ID, 83342-8627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750963328
Provider Name
Elizabeth Davenport
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1503 E Highway 77, Malta, ID, 83342-8627
Phone Number
208-406-6420
Fax Number
Provider Enumeration Date
04/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1503 E Highway 77
City
Malta
State
Idaho
Zip
83342-8627
Phone Number
208-406-6420
Fax Number
person
Provider Business Mailing Address Details
Address
1503 E Highway 77
City
Malta
State
Idaho
Zip
83342-8627
Phone Number
208-406-6420
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA3224 (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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