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

JACQUELYN KOMPERUD, LMT

Active Sole Proprietor

JACQUELYN KOMPERUD, LMT is a Massage Therapist healthcare provider located in BOISE, Idaho. NPI 1417494022 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · BOISE, ID

Registration Details

NPI Number
1417494022
Provider Type
Individual
Gender
Female
NPI Issued
Jan 21, 2017 (9.5472564278341 yrs)
Last Updated
Jan 21, 2017
License
MAS-2518 (ID)
Sole Proprietor
Yes

Practice Information

Address
3858 N GARDEN CENTER WAY STE 101
BOISE, ID, 837035008
Browse ID providers · Browse ZIP 83703
Phone
2083360017
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.