Doctor Name: | MR. ERIC A. BROWN |
NPI Number: | 1194844167 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MASSAGE THERAPIST |
License Number: | 060062 |
Business Practice Address: | 166 S Cole Rd Boise, ID - 837090932 |
Business Phone Number: | 2084846605 |
Business Fax Number: | 2083782845 |
Mailing Address: | 10346 Fox Brush Ct, BOISE |
State: | ID |
Postal Code: | 837097407 |
Phone Number: | 2083456282 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 060062 |
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. |