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

MISTY LAKE, LMT

Active

MISTY LAKE, LMT is a Massage Therapist healthcare provider located in POST FALLS, Idaho. NPI 1134667058 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · POST FALLS, ID

Registration Details

NPI Number
1134667058
Provider Type
Individual
Gender
Female
NPI Issued
Feb 11, 2017 (9.48892371416 yrs)
Last Updated
Feb 11, 2017
Licenses
MAS-2923 (ID)
MA00019204 (WA)

Practice Information

Address
105 E 10TH AVE
POST FALLS, ID, 838545125
Browse ID providers · Browse ZIP 83854
Phone
2084256891
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in POST FALLS, ID

Name Credential NPI
THERESA M FOSTER MP 1063503456
MRS. ASHLEY ANNE BURT LMT 1588812911
FRANK C ALLEN LMP 1871881987
JOHNNIE THOMAS 1265716807
MS. SHANNON L LEE LMP 1316286859
SONJA HURT 1255766085
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.