NPI 1164812368 PATRICIA HETRICK LMT BOISE ID. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Patricia Hetrick - NPI: 1164812368

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: PATRICIA HETRICK
NPI Number: 1164812368
Entity Type Code: Individual (1)
Gender: F
Credentials: LMT
License Number: MASG-727
Business Practice Address: 2300 S Orchard St
Ste. A Boise, ID - 837056722
Business Phone Number: 2083831070
Business Fax Number: 2083833702
Mailing Address: 2300 S Orchard St, Ste. A
BOISE
State: ID
Postal Code: 837056722
Phone Number: 2083831070
Fax Number: 2083833702
NPI Enumeration Date: 01/27/2015
NPI Last Update Date: 01/28/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 225700000X
License Number: MASG-727
Healthcare Provider Taxonomy:
(Secondary)
Y
State: ID
Taxonomy Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Classification: Massage Therapist
Taxonomy Specialization:
Taxonomy Definition:
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.


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