Taneesha Mishel Knight Valid NPI
Individual provider · Massage Therapist · Eagle, ID
- NPI
- 1003689449
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- MAS-4698 (ID)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2023-11-06
- Last updated
- 2023-11-06
Practice location
539 S Fitness Pl Ste 150
Eagle, ID 83616-7035
(805) 750-0323