Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NATHAN MANDIGO, ABT, CMT
Active Sole ProprietorMR. NATHAN MANDIGO, ABT, CMT is a Massage Therapist healthcare provider located in BOISE, Idaho. NPI 1053682484 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · BOISE, ID
Registration Details
- NPI Number
- 1053682484
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2012 (14.615834704545 yrs)
- Last Updated
- Jan 17, 2012
- License
-
MX100087 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
725 N 15TH STBOISE, ID, 837024020Browse ID providers · Browse ZIP 83702
- Phone
- 2089558272
- Primary Specialty
-
Massage Therapist
225700000X
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.