DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUTUMN LUKEZECH

Active Sole Proprietor

AUTUMN LUKEZECH is a Massage Therapist healthcare provider located in SANDPOINT, Idaho. NPI 1134638521 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · SANDPOINT, ID

Registration Details

NPI Number
1134638521
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2017 (8.8392463413597 yrs)
Last Updated
Sep 28, 2017
License
MAS-2902 (ID)
Sole Proprietor
Yes

Practice Information

Address
102 S EUCLID AVE STE 111
SANDPOINT, ID, 838644916
Browse ID providers · Browse ZIP 83864
Phone
5125169144
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in SANDPOINT, ID

Name Credential NPI
SARA HATHAWAY LMT 1114324712
CINDY WANEK 1790170306
ERIKA FINLEY 1861863565
SHAWNA BUTZ LMT 1588023501
CONSTANCE HAMMOND LMT 1558883967
CHRISTOPHER MICHAEL KALINOWSKI LMT 1497274336
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.