Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BLAIR WILLIAM MATTSON, LMT
Active Sole ProprietorMR. BLAIR WILLIAM MATTSON, LMT is a Massage Therapist healthcare provider located in DRIGGS, Idaho. NPI 1629498183 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · DRIGGS, ID
Registration Details
- NPI Number
- 1629498183
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2014 (12.301049470724 yrs)
- Last Updated
- Apr 23, 2014
- License
-
MAS909 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
45 E LITTLE AVEDRIGGS, ID, 834225138Browse ID providers · Browse ZIP 83422
- Phone
- 2083548637
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in DRIGGS, ID
| Name | Credential | NPI |
|---|---|---|
| REBECCA A. PARK | LMT, NCTMB | 1881092955 |
| MICHELLE S DURTSCHI | — | 1659237386 |
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.