Jessica Lopez Valid NPI
Individual provider · Massage Therapist · Eagle, ID
- NPI
- 1871979849
- Type
- Individual (Type 1)
- Primary specialty
- Massage Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225700000X
- License number
- MASG-1311 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2015-07-31
- Last updated
- 2015-07-31
Practice location
150 E Riverside Dr, Suite 100
Eagle, ID 83616-6087
(208) 938-3511