MR. NATHAN MANDIGO ABT, CMT - NPI 1053682484 - Massage Therapist in Boise, ID

Q: What is the provider's specialty?

The provider's specialty is Massage Therapist with taxonomy code 225700000X.

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About Mr. Nathan Mandigo Abt, Cmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NATHAN MANDIGO ABT, CMT (NPI 1053682484) is an individual massage therapist in Boise, Idaho, licensed in Idaho (MX100087) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1053682484

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameMR. NATHAN MANDIGOCredential: ABT, CMT

Location Address725 N 15TH STBoise, ID 83702-4020

Mailing Address725 N 15th StBoise, ID 83702-4020 · (208) 955-8272

Phone(208) 955-8272

Sole ProprietorYes

Enumeration DateJanuary 17, 2012

✔ NPI 1053682484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in ID · MX100087

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.

725 N 15TH ST, Boise, ID 83702

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