Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS NAKITA R JACK, LMT
ActiveMISS NAKITA R JACK, LMT is a Massage Therapist healthcare provider located in HAYDEN, Idaho. NPI 1033865340 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · HAYDEN, ID
Registration Details
- NPI Number
- 1033865340
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 24, 2022 (4.4243587245685 yrs)
- Last Updated
- Feb 24, 2022
- License
-
MAS3883 (ID)
Practice Information
- Address
-
9751 N GOVERNMENT WAY STE 4HAYDEN, ID, 838359645Browse ID providers · Browse ZIP 83835
- Phone
- 2086961330
- Fax
- 2086847834
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in HAYDEN, ID
| Name | Credential | NPI |
|---|---|---|
| CAROLYN P BRAINARD | LMP | 1609967090 |
| DAVID M LEMKE | LMP | 1659462034 |
| ROSE MORNINGSTAR | LICENSED MASSAGE THE | 1619035623 |
| MRS. BEVEN JEAN RICH | ATC, MT | 1437212172 |
| CARLY BRIANN SAMPSON | LMT | 1972791556 |
| VALERIE STEINHOFF | — | 1396166005 |
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.