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Jasper Gibson
Massage Therapist in Sandpoint, Idaho
NPI 1770203911

Jasper Gibson is a Massage Therapist based in Sandpoint, ID. Jasper Gibson practices in Sandpoint, ID. The NPI Number for Jasper Gibson is 1770203911 and holds a License No. MAS-4837 (Idaho).

The current practice location address for Jasper Gibson is 102 S Euclid Ave Ste 201, Sandpoint, ID and can be reached out via phone at 208-502-0728.

Location: 102 S Euclid Ave Ste 201, Sandpoint, ID, 83864-4916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770203911
Provider Name
Jasper Gibson
Credential
Provider Entity Type
Individual
Gender
Male
Address
102 S Euclid Ave Ste 201, Sandpoint, ID, 83864-4916
Phone Number
208-502-0728
Fax Number
Provider Enumeration Date
08/29/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MAS-4837 01 ID LMT
institution
Provider Business Practice Location Address Details
Address
102 S Euclid Ave Ste 201
City
Sandpoint
State
Idaho
Zip
83864-4916
Phone Number
208-502-0728
Fax Number
person
Provider Business Mailing Address Details
Address
102 S Euclid Ave Ste 201
City
Sandpoint
State
Idaho
Zip
83864-4916
Phone Number
208-502-0728
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MAS-4837 (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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