Hope Lane Hansen, LMT
Massage Therapist in Saint Maries, ID. Individual provider (NPI-1).
NPI number1710692496
StatusActive
Last updated in NPPESMar 12, 2024
Details
- NPI
- 1710692496
- Entity type
- Individual (NPI-1)
- Name
- Hope Lane Hansen
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 18, 2023
- Certification date
- Mar 12, 2024
- Last updated
- Mar 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MAS-1082 | ID | Yes |
Practice location
1033 S 3rd StSaint Maries, ID 83861-8386
Phone 208-596-0014
Mailing address
1033 S 3rd StSaint Maries, ID 83861-1909
Phone 208-596-0014
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