person
Destiny Noelle Lake, MASSAGETHERAPIST
Massage Therapist in Post Falls, Idaho
NPI 1811582133

Destiny Noelle Lake is a Massage Therapist based in Post Falls, ID. Destiny Noelle Lake practices in Post Falls, ID and has the professional credentials of MASSAGETHERAPIST. The NPI Number for Destiny Noelle Lake is 1811582133 and holds a License No. MAS-3720 (Idaho).

The current practice location address for Destiny Noelle Lake is 1624 E Seltice Way, Post Falls, ID and can be reached out via phone at 702-556-6113.

Location: 1624 E Seltice Way, Post Falls, ID, 83854-7022
person
Provider Profile Details
NPI Number
1811582133
Provider Name
Destiny Noelle Lake
Credential
MASSAGETHERAPIST
Provider Entity Type
Individual
Gender
Female
Address
1624 E Seltice Way, Post Falls, ID, 83854-7022
Phone Number
702-556-6113
Fax Number
Provider Enumeration Date
03/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1624 E Seltice Way
City
State
Zip
83854-7022
Phone Number
702-556-6113
Fax Number
person
Provider Business Mailing Address Details
Address
1624 E Seltice Way
City
State
Zip
83854-7022
Phone Number
702-556-6113
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MAS-3720 (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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