Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELIZABETH DAVENPORT, LMT
ActiveELIZABETH DAVENPORT, LMT is a Massage Therapist healthcare provider located in MALTA, Idaho. NPI 1750963328 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · MALTA, ID
Registration Details
- NPI Number
- 1750963328
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 23, 2021 (5.2877277517202 yrs)
- Last Updated
- Apr 23, 2021
- License
-
MA3224 (ID)
Practice Information
- Address
-
1503 E HIGHWAY 77MALTA, ID, 833428627Browse ID providers · Browse ZIP 83342
- Phone
- 2084066420
- Primary Specialty
-
Massage Therapist
225700000X
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.