Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROXANNE M WILLIS
Active Sole ProprietorROXANNE M WILLIS is a Massage Therapist healthcare provider located in SPIRIT LAKE, Idaho. NPI 1831509066 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · SPIRIT LAKE, ID
Registration Details
- NPI Number
- 1831509066
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 28, 2014 (12.289759806993 yrs)
- Last Updated
- Apr 30, 2014
- License
-
MAS-13 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6186 W MAINE ST.SPIRIT LAKE, ID, 83869Browse ID providers · Browse ZIP 83869
- Phone
- 2086512298
- Fax
- 2086236717
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in SPIRIT LAKE, ID
| Name | Credential | NPI |
|---|---|---|
| LOREE PEERY | — | 1174943054 |
| SUSAN MCCLELLAN | MASG-897 | 1083003263 |
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.