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Mr. Benjamin Dean Lewis, LMT,MMP
Massage Therapist in Idaho Falls, Idaho
NPI 1992964894

Benjamin Dean Lewis is a Massage Therapist based in Idaho Falls, ID. Benjamin Dean Lewis practices in Idaho Falls, ID and has the professional credentials of LMT,MMP. The NPI Number for Benjamin Dean Lewis is 1992964894 and holds a License No. (Idaho).

The current practice location address for Benjamin Dean Lewis is 2539 Channing Way, Idaho Falls, ID and can be reached out via phone at 208-403-2262.

Location: 2539 Channing Way, Idaho Falls, ID, 83404-7544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992964894
Provider Name
Benjamin Dean Lewis
Credential
LMT,MMP
Provider Entity Type
Individual
Gender
Male
Address
2539 Channing Way, Idaho Falls, ID, 83404-7544
Phone Number
208-403-2262
Fax Number
Provider Enumeration Date
06/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2539 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-7544
Phone Number
208-403-2262
Fax Number
person
Provider Business Mailing Address Details
Address
2539 Channing Way
City
Idaho Falls
State
Idaho
Zip
83404-7544
Phone Number
208-403-2262
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
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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