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Derek A Hatch, MT
Massage Therapist in Bonners Ferry, Idaho
NPI 1861108409

Derek A Hatch is a Massage Therapist based in Bonners Ferry, ID. Derek A Hatch practices in Bonners Ferry, ID and has the professional credentials of MT. The NPI Number for Derek A Hatch is 1861108409 and holds a License No. MAS-4154 (Idaho).

The current practice location address for Derek A Hatch is 222 Racoon Ln, Bonners Ferry, ID and can be reached out via phone at 208-610-8136.

Location: 222 Racoon Ln, Bonners Ferry, ID, 83805-6078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861108409
Provider Name
Derek A Hatch
Credential
MT
Provider Entity Type
Individual
Gender
Male
Address
222 Racoon Ln, Bonners Ferry, ID, 83805-6078
Phone Number
208-610-8136
Fax Number
Provider Enumeration Date
01/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
222 Racoon Ln
City
Bonners Ferry
State
Idaho
Zip
83805-6078
Phone Number
208-610-8136
Fax Number
person
Provider Business Mailing Address Details
Address
222 Racoon Ln
City
Bonners Ferry
State
Idaho
Zip
83805-6078
Phone Number
208-610-8136
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-4154 (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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