Nakita Jack, LMT

NPI 1033865340 · on the registry since 2022

Practice

Address: 9751 N Government Way Ste 4
Hayden, ID 83835
Phone: (208) 696-1330
Fax: (208) 684-7834
Organisation at this address: Good Voodoo, Llc
I Am Breath Holistic Wellness
Transformations Mental Health, Pllc
Awakenings Acupuncture & Herbal Clinic, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-02-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho