Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANNA SUSAN WILLIS, LCMT
Active Sole ProprietorTANNA SUSAN WILLIS, LCMT is a Massage Therapist healthcare provider located in BOISE, Idaho. NPI 1033551015 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · BOISE, ID
Registration Details
- NPI Number
- 1033551015
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 19, 2013 (12.928784760924 yrs)
- Last Updated
- Jul 19, 2013
- Licenses
-
MAS-732 (ID)820290701 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1529 BELMONT STBOISE, ID, 837250001Browse ID providers · Browse ZIP 83725
- Phone
- 2084261459
- Primary Specialty
-
Massage Therapist
225700000X
- Additional Specialty
- Student Health Clinic
Other Massage Therapist Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| SUSAN R STOCKTON | CNMT, LMT | 1285665232 |
| MRS. CASSANDRA KAYE STRUNK | FDN-P, LMT | 1073604500 |
| MR. ERIC A. BROWN | MASSAGE THERAPIST | 1194844167 |
| MS. RONNIE DALE WILLIAMS | CNA , CMT | 1174793616 |
| MRS. KIMBERLY KATHALEEN TRULLI | RMT | 1063662591 |
| JOAN L. HURST | JOAN HURST, ABT. | 1447495403 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.