Untapped Health LLC
Massage Therapist in Idaho Falls, ID. Organization (NPI-2).
NPI number1104550102
StatusActive
Last updated in NPPESJul 14, 2022
Details
- NPI
- 1104550102
- Entity type
- Organization (NPI-2)
- Legal business name
- Untapped Health LLC
- Organization subpart
- No
- Enumeration date
- Jul 14, 2022
- Certification date
- Jul 14, 2022
- Last updated
- Jul 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
1800 E 17th StIdaho Falls, ID 83404-6468
Phone 208-252-5770
Mailing address
1800 E 17th StIdaho Falls, ID 83404-6468
Phone 208-252-5770
Authorized official
Justin T Odell
Owner Therapist
2083512114
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