Destiny Lake, MASSAGE THERAPIST

NPI 1811582133 · on the registry since 2021 · sole proprietor

Practice

Address: 1624 E Seltice Way
Post Falls, ID 83854
Phone: (702) 556-6113
Organisation at this address: Hardison-Walz Pc
Atlast Chiropractic, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 225700000X
225700000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2021-03-08

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