Jessica Lopez is a Massage Therapist based in Eagle, ID. Jessica Lopez practices in Eagle, ID. The NPI Number for Jessica Lopez is 1871979849 and holds a License No. MASG-1311 (Idaho).
The current practice location address for Jessica Lopez is 150 E Riverside Dr, Eagle, ID and can be reached out via phone at 208-938-3511.
Location: 150 E Riverside Dr, Eagle, ID, 83616-6087
Provider Profile Details
NPI Number
1871979849
Provider Name
Jessica Lopez
Credential
Provider Entity Type
Individual
Gender
Female
Address
150 E Riverside Dr, Eagle, ID, 83616-6087
Phone Number
208-938-3511
Fax Number
Provider Enumeration Date
07/31/2015
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
150 E Riverside Dr
City
State
Zip
83616-6087
Phone Number
208-938-3511
Fax Number
Provider Business Mailing Address Details
Address
150 E Riverside Dr
City
State
Zip
83616-6087
Phone Number
208-938-3511
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
MASG-1311 (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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