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

DESTINY NOELLE LAKE, MASSAGE THERAPIST

Active Sole Proprietor

DESTINY NOELLE LAKE, MASSAGE THERAPIST is a Massage Therapist healthcare provider located in POST FALLS, Idaho. NPI 1811582133 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · POST FALLS, ID

Registration Details

NPI Number
1811582133
Provider Type
Individual
Gender
Female
NPI Issued
Mar 8, 2021 (5.3986213534315 yrs)
Last Updated
Mar 8, 2021
License
MAS-3720 (ID)
Sole Proprietor
Yes

Practice Information

Address
1624 E SELTICE WAY
POST FALLS, ID, 838547022
Browse ID providers · Browse ZIP 83854
Phone
7025566113
Primary Specialty
Massage Therapist
225700000X

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.