Doctor Name: | ROSE MORNINGSTAR |
NPI Number: | 1619035623 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICENSED MASSAGE THE |
License Number: | MA000011941 |
Business Practice Address: | 2151 W. Hayden Ave Hayden, ID - 83835 |
Business Phone Number: | 2087626772 |
Business Fax Number: | 2087626773 |
Mailing Address: | 2151 W. Hayden Ave, HAYDEN |
State: | ID |
Postal Code: | 83835 |
Phone Number: | 2087626772 |
Fax Number: | 2087626773 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 11/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA000011941 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
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. |