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Adam Nelson, LMT

Massage Therapist in Idaho Falls, ID. Individual provider (NPI-1).

NPI number1982187944
StatusActive
Last updated in NPPESSep 14, 2018

Details

NPI
1982187944
Entity type
Individual (NPI-1)
Name
Adam Nelson
Credential
LMT
Sex
Male
Sole proprietor
No
Enumeration date
Sep 14, 2018
Last updated
Sep 14, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage TherapistMAS-3176IDYes

Practice location

2450 E 25th St Ste C
Idaho Falls, ID 83404-7577

Phone 208-656-5858 · Fax 208-549-7575

Mailing address

2450 E 25th St Ste C
Idaho Falls, ID 83404-7577

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